Individual provider Active NPI

Connie S Leanza, CRNP

  • Acute Care Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1205921152
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN5748 Issued in TN
Practice address
1805 N Jackson St
Suite 1
Tullahoma, TN 37388-2290
Phone
(931) 222-4083
Fax
(931) 222-4083
NPI assigned
Oct 4, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN5748 TN Primary
Adult Health Nurse Practitioner 363LA2200X APN5748 TN

Addresses

Primary practice location

1805 N Jackson St
Suite 1
Tullahoma, TN 37388-2290

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

13181 Old Nashville Hwy Ste 150
Smyrna, TN 37167-4034
Phone (615) 355-5105

Other practice location 2

1940 N Jackson St Ste 150
Tullahoma, TN 37388-8257
Phone (615) 355-5105

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
I20110210000571 TN Practitioner - Nurse Practitioner 8426238262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

13181 Old Nashville Hwy
Suite 150
Smyrna, TN 37167-4034
Phone (615) 355-5105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN5748TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Mar 1, 2018 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Mar 1, 2018 Accepting new patients
Cardiology Group, PC Past Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

13181 Old Nashville Hwy
Ste 150
Smyrna, TN 37167
Phone (615) 355-5105

1801 N Washington St
Ste 300
Tullahoma, TN 37388
Phone (931) 393-4995

1940 N Jackson St
Ste 150
Tullahoma, TN 37388
Phone (615) 355-5105

1940 N Jackson St
Ste 220
Tullahoma, TN 37388
Phone (931) 455-4616

Interoperability endpoints

  • Direct secure messaging: connie.leanza@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1205921152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "address_2": "SUITE 1",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "931-222-4083",
            "fax_number": "931-222-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13181 Old Nashville Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371674034",
            "country_code": "US",
            "telephone_number": "615-355-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 N Jackson St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373888257",
            "country_code": "US",
            "telephone_number": "615-355-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEANZA",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN5748",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN5748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.