Leydis Marlen Eawaz, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005358 Issued in CA

Practice address

2371 Owen St
Santa Clara, CA 95054-3212

Phone

(408) 708-0204

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leydis Marlen Varona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: leydis.eawaz@49412312072196.direct.elationemr.com
• Direct secure messaging: leawaz1041528@wm.providencedirect.org

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1225584584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 POMEROY AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950514406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 OWEN ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543212",
            "telephone_number": "408-708-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080A La Avenida St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940431422",
            "country_code": "US",
            "telephone_number": "650-772-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAWAZ",
        "first_name": "LEYDIS",
        "middle_name": "MARLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9337001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEYDIS",
            "last_name": "VARONA",
            "middle_name": "MARLEN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Toledo Duran, LMFT
• Esther Marquez Duran, PA
• Lauren Durfey, MA
• Joy Dyferrer, M.S.CCC-SLP
• E Care Healthy Group
• Ecare Health Group Inc.
• Edward a. Avakoff D.D.S., Inc.
• Shaji Edwin
• Garrett G. Eggers, MD
• Douglas Lee Eibeck, CRNA

• Family Nurse Practitioner in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.