Individual provider Active NPI

Leeann Adan, R.N.

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1245762640
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
830446 Issued in CA
Practice address
1600 Pacific Hwy
Suite 206
San Diego, CA 92101-2429
Phone
(858) 722-1772
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 830446 CA Primary

Addresses

Primary practice location

1600 Pacific Hwy
Suite 206
San Diego, CA 92101-2429

Mailing address

9986 Kaufman Way
San Diego, CA 92126-5107
Phone (858) 722-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
830446CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1245762640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9986 KAUFMAN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921265107",
            "telephone_number": "858-722-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC HWY",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012429",
            "telephone_number": "858-722-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAN",
        "first_name": "LEEANN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "830446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.