Individual provider Active NPI

Leigh Bastable Poitevent, FNP-BC

  • Family Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1053713032
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2246591 Issued in MA
Practice address
36 White St
Ste 1
Cambridge, MA 02140-1449
Phone
(617) 876-5519
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2246591 MA Primary

Addresses

Primary practice location

36 White St
Ste 1
Cambridge, MA 02140-1449

Mailing address

250 1St Ave
Unit 508
Charlestown, MA 02129-4401
Phone (315) 345-1900

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2246591MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1053713032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 1ST AVE",
            "address_2": "UNIT 508",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021294401",
            "telephone_number": "315-345-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WHITE ST",
            "address_2": "STE 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401449",
            "telephone_number": "617-876-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITEVENT",
        "first_name": "LEIGH",
        "middle_name": "BASTABLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2246591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.