Individual provider Active NPI

Luann R Leighton

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Owings Mills, MD
National Provider Identifier
1033701156
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
TBD Issued in MD
Practice address
4214 Summer Shade Way
Owings Mills, MD 21117-4872
Phone
(443) 838-6184
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TBD MD Primary

Addresses

Primary practice location

4214 Summer Shade Way
Owings Mills, MD 21117-4872

Mailing address

4214 Summer Shade Way
Owings Mills, MD 21117-4872
Phone (443) 838-6184

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

LicenseStateTypeSpecialty
TBDMDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Developmental Support Services CurrentSince Sep 23, 2024 Accepting new patients
Gateway Unified Care Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Current Accepting new patients
Chesapeake Developmental Support Services Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities CurrentSince Jul 25, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1033701156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 SUMMER SHADE WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174872",
            "telephone_number": "443-838-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 SUMMER SHADE WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174872",
            "telephone_number": "443-838-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTON",
        "first_name": "LUANN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.