Naomi Leis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304764-31 Issued in WI

Practice address

510 N Court St
Sparta, WI 54656-1708

Phone

(608) 633-2817

NPI assigned

Aug 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1154679249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 NAUTILUS AVE",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546197247",
            "telephone_number": "608-487-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N COURT ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561708",
            "telephone_number": "608-633-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIS",
        "first_name": "NAOMI",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "304764-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald N. La Force, H.I.S
• Rebecca James Lamb, LPC
• Daniel Landdeck, MD
• Emma K Ledbetter, MD
• Joseph C Lehner, DO
• Leo J. Malin, D.D.S., S.C.
• Elayne Josephine Lexen, M.S., CCC-SLP
• John Lodico Jr., DC
• Michael Scott Lohse
• Lopez Family Dental, LLC

• Licensed Practical Nurse in Sparta, WI
• Providers in Sparta, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; 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.