Individual provider Active NPI

Leland Shayne Webb, MD

  • Plastic Surgery Physician
  • Murfreesboro, TN
National Provider Identifier
1275794810
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
248809 Issued in NY
Practice address
836 N Thompson LN Ste 2a
Murfreesboro, TN 37129-4356
Phone
(615) 410-3676
Fax
(615) 809-2096
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 248809 NY Primary

Addresses

Primary practice location

836 N Thompson LN Ste 2a
Murfreesboro, TN 37129-4356

Mailing address

836 N Thompson LN Ste 2a
Murfreesboro, TN 37129-4356
Phone (615) 410-3676

Other identifiers 1

IdentifierTypeStateIssuer
50904OtherTNSTATE LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
248809NYMDPlastic Surgery Physician
31549SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Plastic Surgery, P.a. Plastic Surgery PastSince Sep 1, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1275794810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 N THOMPSON LN STE 2A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294356",
            "telephone_number": "615-410-3676",
            "fax_number": "615-809-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 N THOMPSON LN STE 2A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294356",
            "telephone_number": "615-410-3676",
            "fax_number": "615-809-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LELAND",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "248809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "50904",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.