Leesa Herrmann, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0020159 Issued in OK

Practice address

112 McKinley Ave
Chandler, OK 74834-1622

Phone

(405) 258-3040

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205938966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 2ND ST",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748342065",
            "telephone_number": "405-258-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MCKINLEY AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748341622",
            "telephone_number": "405-258-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "LEESA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0020159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF NURSING",
            "identifier": "L0020159",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellisworth Hardiman
• Cheri Ann Harrington, L.P.C., N.C.C.
• Melody Joyce Harris
• Adrian Rachel Hart
• Callie Jean Hataway, PHARMD
• Hillside Integrated Therapy LLC
• Hite Drug Inc (Hite Drug)
• Brittni Ann Huff
• Edward Hutton
• Icare Center Chandler LLC

• Licensed Practical Nurse in Chandler, OK
• Providers in Chandler, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.