Individual provider Active NPI

Victoria Kim Leri

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1023514981
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP018341 Issued in PA
Practice address
1020 Sansom St
Philadelphia, PA 19107-5002
Phone
(215) 955-6844
Fax
(215) 923-6225
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP018341 PA Primary

Addresses

Primary practice location

1020 Sansom St
Philadelphia, PA 19107-5002

Mailing address

2 Overbrook Pkwy
Wynnewood, PA 19096-3518
Phone (267) 808-0275

Other practice location 1

2 Overbrook Pkwy
Wynnewood, PA 19096-3518
Phone (267) 808-0275

Other practice location 2

2 Overbrook Pkwy
Wynnewood, PA 19096-3518
Phone (267) 808-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180827003358 PA Practitioner - Nurse Practitioner 1153670971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018341PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Jun 30, 2018 Accepting new patients
Jefferson University Physicians CurrentSince Jun 30, 2018 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jun 30, 2018 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

1020 Sansom St
Philadelphia, PA 19107
Phone (215) 955-6844

1020 Sansom St
#10
Philadelphia, PA 19107

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1023514981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERBROOK PKWY",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963518",
            "telephone_number": "267-808-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6844",
            "fax_number": "215-923-6225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Overbrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963518",
            "country_code": "US",
            "telephone_number": "267-808-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Overbrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963518",
            "country_code": "US",
            "telephone_number": "267-808-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERI",
        "first_name": "VICTORIA",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.