Individual provider Active NPI

Leah Warren, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1003595703
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
905172 Issued in MS
Practice address
1009 Benigno LN
Bay St Louis, MS 39520-1602
Phone
(228) 467-2555
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 905172 MS Primary

Addresses

Primary practice location

1009 Benigno LN
Bay St Louis, MS 39520-1602

Mailing address

136 Spence Dr
Pass Christian, MS 39571-4839
Phone (601) 507-7489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000033 MS Practitioner - Nurse Practitioner 4789124686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1001 Benigno LN
Bay St Louis, MS 39520-1602
Phone (228) 467-1414

1009 Benigno LN
Bay Saint Louis, MS 39520-1602
Phone (228) 467-2555

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 28, 2025 Accepting new patients
Hancock Womens Center PA CurrentSince Sep 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 28, 2025 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1009 Benigno Ln
Bay St Louis, MS 39520
Phone (228) 467-2555

4577 13th St
Gulfport, MS 39501
Phone (228) 864-2752

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Organizations & group practices 5

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 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1003595703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SPENCE DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714839",
            "telephone_number": "601-507-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BENIGNO LN",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201602",
            "telephone_number": "228-467-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "LEAH",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "905172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.