Leah Antunes, CMA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

47-5267829 Issued in SC

Practice address

110 Mockingbird Dr
Lexington, SC 29073-8739

Phone

(803) 237-4103

NPI assigned

Nov 20, 2015

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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.

• Living on Purpose Everyday-L.O.P.E

  • Voluntary or Charitable Agency
  • Lexington, SC
  • NPI 1942753827
  Authorized official Same address or phone

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1154795615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MOCKINGBIRD DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738739",
            "telephone_number": "803-237-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MOCKINGBIRD DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738739",
            "telephone_number": "803-237-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTUNES",
        "first_name": "LEAH",
        "credential": "CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "47-5267829",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "SC",
            "license": "100295992",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": "100295992",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "SC",
            "license": "475267829",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "475267829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock James Anderson, DMD
• Kendall Anastasia Anderson, DPT
• Nicole Dunavant Anderson, PT
• Anesthesiology Professionals of Columbia LLC
• Karina Antonio
• Briona Appleberry
• Eliza Jacob Appleby, D.O
• Abigail Applegate
• Anthony Allen Archer, PT
• Archwood Counseling Services, LLC

• Exclusive Provider Organization in Lexington, SC
• Providers in Lexington, SC by specialty
• Exclusive Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.