Individual provider Active NPI

Leann Vanduyn, NP-C

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1235591546
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8535 Issued in AZ
Practice address
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Phone
(520) 836-3446
Fax
(520) 836-8807
NPI assigned
Mar 25, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP8535 AZ
Family Nurse Practitioner 363LF0000X AP8535 AZ Primary

Addresses

Primary practice location

865 N Arizola Rd
Casa Grande, AZ 85122-6011

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160519001600 AZ Practitioner - Nurse Practitioner 9537458237 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Trinity Way
Canton, GA 30115-7582

21410 N 19TH Ave
Suite 151
Phoenix, AZ 85027-2761

3514 Cedar Springs Rd
Dallas, TX 75219-4901

7051 E 5TH Ave
Suite W
Scottsdale, AZ 85251-3219

865 N Arizola Rd
Casa Grande, AZ 85122-6011

9250 N 3Rd St
Suite 4010
Phoenix, AZ 85020-2432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8535AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Nov 14, 2024 Accepting new patients
Allergy and Environmental Treatment Center, LLC Family Medicine CurrentSince Mar 22, 2022 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 10, 2023 Accepting new patients
Azmed4U Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Nov 14, 2024 Accepting new patients
Absolute Rehabilitation and Pain Medicine PLLC Nurse Practitioner CurrentSince Nov 29, 2018 Accepting new patients
Gerald Muthu, LLC CurrentSince Aug 8, 2024 Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-1287

1653 E McMurray Blvd
Ste 135
Casa Grande, AZ 85122
Phone (520) 876-0478

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

3514 N Power Rd
Ste 105
Mesa, AZ 85215
Phone (480) 422-8533

7320 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 502-0250

8776 E Shea Blvd
Ste 106
Scottsdale, AZ 85260
Phone (306) 708-3777

8952 E Desert Cove Ave
Ste 114
Scottsdale, AZ 85260
Phone (480) 634-2985

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (972) 740-9335

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235591546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226011",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUYN",
        "first_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP8535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.