Individual provider Active NPI

Ladawna R Leeth, APN

  • Adult Health Clinical Nurse Specialist
  • Mount Holly, NJ
National Provider Identifier
1306212774
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ00460100 Issued in NJ
Practice address
231 High St FL 1
Mount Holly, NJ 08060-1450
Phone
(609) 534-5998
Fax
(609) 488-6023
NPI assigned
Aug 19, 2015
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ00460100 NJ Primary

Addresses

Primary practice location

231 High St FL 1
Mount Holly, NJ 08060-1450

Mailing address

231 High St FL 1
Mount Holly, NJ 08060-1450
Phone (609) 534-5998

Other names 1

  • Ladawna R Leeth Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160223001507 NJ Practitioner - Nurse Practitioner 2668777061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physician Group, PCGroup PAC ID 9234392903, 5 clinicians

Practice addresses (Care Compare)

231 High St
FL 1
Mount Holly, NJ 08060-1450
Phone (609) 534-5998

Merit-based Incentive Payment System (MIPS)

Final score
80.44 of 100Reported as group
Quality
56.57
Improvement activities
40
Cost
65.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00460100NJMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Home Care, Inc. Current Accepting new patients
Moorestown Visiting Nurse Association Inc CurrentSince Mar 1, 2016 Accepting new patients
Moorestown Visiting Nurse Association Inc CurrentSince Mar 1, 2016 Accepting new patients
Mobile Physician Group, PC CurrentSince Dec 12, 2016 Accepting new patients

Locations

300 Harper Dr
Moorestown, NJ 08057
Phone (856) 380-1070

231 High St
Fl 1
Mount Holly, NJ 08060
Phone (609) 534-5998

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: leethla@mpgp-nj.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1306212774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HIGH ST FL 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601450",
            "telephone_number": "609-534-5998",
            "fax_number": "609-488-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HIGH ST FL 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601450",
            "telephone_number": "609-534-5998",
            "fax_number": "609-488-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETH",
        "first_name": "LADAWNA",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00460100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADAWNA",
            "last_name": "LEETH",
            "middle_name": "R",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.