Individual provider Active NPI

Rebecca Leach, CNP

  • Family Nurse Practitioner
  • Milford, OH
National Provider Identifier
1093241044
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028336 Issued in OH
Practice address
300 Chamber Dr
Milford, OH 45150-1734
Phone
(513) 475-8050
Fax
(513) 248-1809
NPI assigned
May 11, 2017
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 3010993 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.0028336 OH Primary

Addresses

Primary practice location

300 Chamber Dr
Milford, OH 45150-1734

Mailing address

2830 Victory Parkway
Payor Enrollment
Cincinnati, OH 45206-1785
Phone (513) 585-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170613002945 KY Practitioner - Nurse Practitioner 2567730658 Reassigns benefits to 1 organization
I20210216002028 OH Practitioner - Nurse Practitioner 2567730658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Chamber Dr
Milford, OH 45150-1734
Phone (513) 475-8050

68 Cavalier Blvd
Florence, KY 41042-1645
Phone (513) 475-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010993KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 17, 2017 Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

300 Chamber Dr
Milford, OH 45150
Phone (513) 475-8050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1093241044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PARKWAY",
            "address_2": "PAYOR ENROLLMENT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-585-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHAMBER DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501734",
            "telephone_number": "513-475-8050",
            "fax_number": "513-248-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "REBECCA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.