Active NPI
Leonor N. Aguilar, N.P.
- Family Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15269
- Practice address
- 5981 Far Hills Ave
Dayton, OH 45429-2211 - Phone
- (937) 428-6702
- NPI assigned
- Jan 12, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA15269NP | OH | |
| Nurse Practitioner | 363L00000X | N.P. 15826 | CA | |
| Family Nurse Practitioner | 363LF0000X | 15269 | OH | Primary |
Addresses
Primary practice location
5981 Far Hills Ave
Dayton, OH 45429-2211
Mailing address
5981 Far Hills Ave
Dayton, OH 45429-2211
Phone (323) 428-4240
Other practice location 1
1989 Miamisburg Centerville Rd Ste 201
Centerville, OH 45459-3858
Phone (937) 401-7575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265583785 | Medicaid | CA | |
| 0102999 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laguilar530389@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140618000369 | OH | Practitioner - Nurse Practitioner | 9739330465 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15269 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| N.P. 15826 | CA | MD | Nurse Practitioner |
| COA15269NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| County of Los Angeles | Past | Accepting new patients |
Locations
1989 Miamisburg Centerville Rd
Ste 201
Dayton, OH 45459
Phone (937) 401-7575
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
OH
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1265583785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5981 FAR HILLS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292211",
"telephone_number": "323-428-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5981 FAR HILLS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292211",
"telephone_number": "937-428-6702"
}
],
"practiceLocations": [
{
"address_1": "1989 Miamisburg Centerville Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593858",
"country_code": "US",
"telephone_number": "937-401-7575",
"fax_number": "937-522-8350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR",
"first_name": "LEONOR",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA15269NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "N.P. 15826",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "15269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265583785",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102999",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laguilar530389@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1989 Miamisburg Centerville Rd Ste 201",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593858",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1989 Miamisburg Centerville Rd Ste 201",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.