Hayley M Leichtman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704266588 Issued in MI

Practice address

4050 W Maple Rd Ste 101
Bloomfield Hills, MI 48301-3118

Phone

(248) 885-8211

NPI assigned

Jun 11, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

F Khan MD PCGroup PAC ID 9335296052, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• F Khan MD PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1033253992
  Medicare reassignment Care Compare group NPD
• A3 Medical

  • Internal Medicine Physician
  • Bloomfield, MI
  • NPI 1366798373
  NPD (past)
• Asif Ishaque MD PC

  • Internal Medicine Physician
  • Davison, MI
  • NPI 1396879730
  NPD (past)

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1184153223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 TALLAHASSEE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013118",
            "telephone_number": "248-885-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTMAN",
        "first_name": "HAYLEY",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS (LARA)",
            "identifier": "4704266588",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Law Office of Lachelle C. Bussell, PLC
• Lawrence Usher DO PC
• Nolan Lawrence, DPT
• Jin Lee Kim, PH.D.
• Peter Jae Lee, M.D.
• Susan I Leitman, PH.D.
• Jean Marie Lemarbe, PT
• John S Leone, MA
• Freda Baran Lerman, LPC, PSYD
• George Nicholas Leventis, RPH

• Family Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.