Active NPI
Leann Marie Averell, L.M.T.
- Community Health Worker
- Gainesville, FL
National Provider Identifier
1023327061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA60437
- Practice address
- 6421 SW 13TH St
Gainesville, FL 32608-5419 - Phone
- (352) 378-7891
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA60437 | FL | Primary |
Addresses
Primary practice location
6421 SW 13TH St
Gainesville, FL 32608-5419
Mailing address
PO Box 123
Gainesville, FL 32602-0123
Phone (352) 672-7369
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60437 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1023327061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326020123",
"telephone_number": "352-672-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326085419",
"telephone_number": "352-378-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERELL",
"first_name": "LEANN",
"middle_name": "MARIE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "MA60437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.