Active NPI
Ada Lisette Leon, FNP
- Nurse Practitioner
- Coram, NY
National Provider Identifier
1316199730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F335257
- Practice address
- 49 Wilmont Turn
Coram, NY 11727-1037 - Phone
- (917) 513-1386
- NPI assigned
- Oct 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F335257 | NY | Primary |
Addresses
Primary practice location
49 Wilmont Turn
Coram, NY 11727-1037
Mailing address
49 Wilmont Turn
Coram, NY 11727-1037
Phone (917) 513-1386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F335257 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1316199730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WILMONT TURN",
"city": "CORAM",
"state": "NY",
"postal_code": "117271037",
"telephone_number": "917-513-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WILMONT TURN",
"city": "CORAM",
"state": "NY",
"postal_code": "117271037",
"telephone_number": "917-513-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "ADA",
"middle_name": "LISETTE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F335257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.