Individual provider Active NPI

Leighsa M Gervais, MED, BSN, RN, NCSN

  • School Registered Nurse
  • Pasco, WA
National Provider Identifier
1003539438
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00127768 Issued in WA
Practice address
1616 W Octave St
Pasco, WA 99301-4075
Phone
(509) 543-6792
Fax
(509) 546-2698
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00127768 WA Primary

Addresses

Primary practice location

1616 W Octave St
Pasco, WA 99301-4075

Mailing address

1616 W Octave St
Pasco, WA 99301-4075
Phone (509) 543-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00127768WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003539438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W OCTAVE ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014075",
            "telephone_number": "509-543-6792",
            "fax_number": "509-546-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W OCTAVE ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014075",
            "telephone_number": "509-543-6792",
            "fax_number": "509-546-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "LEIGHSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MED, BSN, RN, NCSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00127768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.