Individual provider Active NPI

Donte Leonard, PNP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1164034013
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
27837 Issued in TN
Practice address
4610 Pecanwood Way
Knoxville, TN 37921-1464
Phone
(615) 516-3810
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0035641 OH
Pediatric Nurse Practitioner 363LP0200X 27837 TN Primary
Nurse Practitioner 363L00000X 27837 TN

Addresses

Primary practice location

4610 Pecanwood Way
Knoxville, TN 37921-1464

Mailing address

4610 Pecanwood Way
Knoxville, TN 37921-1464
Phone (615) 516-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200830000010 TN Practitioner - Nurse Practitioner 4486071917 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0035641OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Orthotennessee, PC Past Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

1817 W Morris Blvd
Morristown, TN 37813
Phone (423) 581-3904

952 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 453-9980

Interoperability endpoints

  • Direct secure messaging: donte.leonard.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1164034013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 PECANWOOD WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211464",
            "telephone_number": "615-516-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 PECANWOOD WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211464",
            "telephone_number": "615-516-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "DONTE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "0035641",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "27837",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.