Individual provider Active NPI

Leah S Cullins Hartford, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1265633465
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN104218 AP05089 Issued in LA
Practice address
4890 Bluebonnet Blvd
Baton Rouge, LA 70809-9644
Phone
(225) 769-3922
Fax
(225) 769-3933
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120710000177 LA Practitioner - Nurse Practitioner 9537283007 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN104218 AP05089LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Living Inc Family CurrentSince Sep 27, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients
Larouge Personal Home Care, Inc. PastSince Jul 29, 2021 Accepting new patients

Locations

301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320

3016 Galleria Dr
Metairie, LA 70001
Phone (504) 766-9882

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN104218 AP05089 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

4890 Bluebonnet Blvd
Baton Rouge, LA 70809-9644

Mailing address

8390 Champions Gate Blvd
Suite 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1466387MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2016.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1265633465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099644",
            "telephone_number": "225-769-3922",
            "fax_number": "225-769-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINS HARTFORD",
        "first_name": "LEAH",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN104218 AP05089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466387",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.