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Pinelake Physician Practice LLC

Pinelake Physician Practice LLC is a healthcare organization registered as Rural Health Clinic/Center in Clinton, KY, holding Type 2 (organization) NPI 1437614633 since 2019. The authorized official on file is Sharlee Lebleu, Sr Director, Provider Enrollment.

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NPI 1437614633
Entity type Organization (Type 2)
Legal business name Pinelake Physician Practice LLC
Other name <Unavail>
Practice address 106 W CLAY ST, Clinton, KY, 42031
Phone 2706530220
Fax 2706530221
Enumeration date 2019-02-01
Last updated in NPPES 2019-06-11

Authorized official

Name Sharlee Lebleu
Title Sr Director, Provider Enrollment
Phone 6159207192

Taxonomy & classification

Taxonomy code Specialty Primary License State
363L00000X Nurse Practitioner Secondary
363LF0000X Family Nurse Practitioner Secondary
207Q00000X Family Medicine Physician Secondary
207VX0000X Obstetrics Physician Secondary
261QR1300X Rural Health Clinic/Center Primary
Copy-ready billing details
Provider: Pinelake Physician Practice LLC
NPI: 1437614633
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 106 W CLAY ST, Clinton, KY, 42031

Providers at this address

NPI Name Type Specialty Location
1396713079 Hospital of Fulton Inc Organization Rural Health Clinic/Center Clinton, KY

Verify this record

Cross-check NPI 1437614633 against the authoritative CMS record: view Pinelake Physician Practice LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Pinelake Physician Practice LLC?
NPPES lists Sharlee Lebleu (Sr Director, Provider Enrollment) as the authorized official for this organization.
What is the NPI number for Pinelake Physician Practice LLC?
The NPI for Pinelake Physician Practice LLC is 1437614633, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-11.