MRS. BRITTNEY LEIGH VAN LAEKEN AGACNP-BC NPI 1225703770

NPI Information

NPI: 1225703770
Provider Name: MRS. BRITTNEY LEIGH VAN LAEKEN, AGACNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2500 N ELM ST
HENDERSON, KY
ZIP 42420
Phone: (731) 394-1145
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MRS. Brittney Leigh Van Laeken, AGACNP-BC is a gerontology nurse practitioner in Henderson, KY with 3 years of experience. MRS. Brittney Leigh Van Laeken, AGACNP-BC NPI is 1225703770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N ELM ST
HENDERSON, KY
ZIP 42420-005
Phone: (731) 394-1145

The NPI 1225703770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	71011790A	INDIANA	No
2	363LG0600X	Nurse Practitioner	Gerontology	3018986	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001600733	OTHER		BCBS
2	300056307	MEDICAID	INDIANA
3	7100777640	MEDICAID	KENTUCKY
4	71011790	OTHER	INDIANA	INDIANA STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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