Active NPI
Leigh Wacha Hunter, N.P
- Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1265503510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15209
- Practice address
- 2653 Elm Ave Ste 200
Long Beach, CA 90806-1652 - Phone
- (562) 728-5000
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 396544 | CA | |
| Nurse Practitioner | 363L00000X | 15209 | CA | Primary |
Addresses
Primary practice location
2653 Elm Ave Ste 200
Long Beach, CA 90806-1652
Mailing address
2653 Elm Ave
Ste 200
Long Beach, CA 90806-1652
Phone (310) 784-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180406000660 | CA | Order and Referring Only - Hematology | 8224391156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 396544 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1265503510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 ELM AVE",
"address_2": "STE 200",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061652",
"telephone_number": "310-784-5800",
"fax_number": "310-530-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 ELM AVE STE 200",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061652",
"telephone_number": "562-728-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "LEIGH",
"middle_name": "WACHA",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "396544",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "15209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.