Leah Marie Umphlett, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39020000X Issued in GA

Practice address

5111 Maryland Way Ste 301
Brentwood, TN 37027-7513

Phone

(615) 661-4256

Fax

(615) 661-4253

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leah Ulatowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brentwood Pediatrics PLLC

  • Pediatrics Physician
  • Brentwood, TN
  • NPI 1962508937
  NPD (past)
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1467781690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1003078361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HEATHER WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274384",
            "telephone_number": "716-799-2032",
            "fax_number": "615-661-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 MARYLAND WAY STE 301",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277513",
            "telephone_number": "615-661-4256",
            "fax_number": "615-661-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHLETT",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "39020000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002941",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "ULATOWSKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Tyree, BCBA
• Emmaculator Ugochukwu
• Patricia Uherova, MD
• Chiaju Ukegbu, PHARM D.
• Abraham Umo
• Ethan James Underwood
• Susan L Underwood, P.T.
• Unity Haven Care LLC
• Upper Midwest First Assist, LLC
• Anthony P Urbanek, D.D.S. , M.D.

• Pediatrics Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.