NPIMap

Individual provider Active NPI

Rebecca Dawn Leicht, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1003459256
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.23351 Issued in SC
Practice address
1809 Wade Hampton Blvd Ste 120
Greenville, SC 29609-4050
Phone
(864) 522-5000
Fax
(864) 241-9275
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.23351 SC Primary

Addresses

Primary practice location

1809 Wade Hampton Blvd Ste 120
Greenville, SC 29609-4050

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536

Other names 1

  • Rebecca Dawn Elmer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://mychart.ghs.org/mychart/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217000001 SC Practitioner - Nurse Practitioner 1759715295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1809 Wade Hampton Blvd
Suite 120
Greenville, SC 29609-4050
Phone (864) 522-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.23351SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Nov 11, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 11, 2019 Accepting new patients
University Medical Associates, LLC PastSince Oct 1, 2019 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

109 Fleetwood Dr
#A
Easley, SC 29640
Phone (864) 442-7618

1809 Wade Hampton Blvd
Ste 120
Greenville, SC 29609
Phone (864) 322-4665

1 E Stone Ave
Greenville, SC 29609
Phone (864) 235-9115

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

Interoperability endpoints

  • Direct secure messaging: rleicht269061@direct.ghs.myhfn.org

Organizations & group practices 3

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.

Hospital & facility affiliations 51

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1003459256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 WADE HAMPTON BLVD STE 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094050",
            "telephone_number": "864-522-5000",
            "fax_number": "864-241-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHT",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.23351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://mychart.ghs.org/mychart/",
            "affiliation": "N",
            "endpointDescription": "MyChart messaging/health information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MyChart Messaging system",
            "address_1": "1809 Wade Hampton Blvd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ELMER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.