Individual provider Active NPI

Ingrid Leon, ARNP

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1063964559
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02306 Issued in RI
Practice address
1407 S County TRL Ste 430a
East Greenwich, RI 02818-1679
Phone
(401) 886-7910
Fax
(401) 886-7913
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9338025 FL
Family Nurse Practitioner 363LF0000X APRN02306 RI Primary

Addresses

Primary practice location

1407 S County TRL Ste 430a
East Greenwich, RI 02818-1679

Mailing address

1407 S County TRL Ste 430a
East Greenwich, RI 02818-1679
Phone (401) 886-7910

Other practice location 1

14485 SW 27th St
Miami, FL 33175-7449
Phone (786) 390-1668

Other practice location 2

1405 S County Trl Ste 510
East Greenwich, RI 02818-5097
Phone (401) 736-4523

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ileon@kent.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240318003602 DC Practitioner - Nurse Practitioner 8729411699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

10605 Concord St
Suite 500
Kensington, MD 20895-2519
Phone (301) 942-2977

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9338025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 3, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 3, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

10605 Concord St
Ste 500
Kensington, MD 20895
Phone (301) 942-2977

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ingrid.leon.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1063964559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL STE 430A",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181679",
            "telephone_number": "401-886-7910",
            "fax_number": "401-886-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL STE 430A",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181679",
            "telephone_number": "401-886-7910",
            "fax_number": "401-886-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14485 SW 27th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331757449",
            "country_code": "US",
            "telephone_number": "786-390-1668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S County Trl Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028185097",
            "country_code": "US",
            "telephone_number": "401-736-4523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "INGRID",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9338025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ileon@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1407 S County Trl Ste 430A",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028181679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.