Individual provider Active NPI

Leanne Young-Fritchie, FNP

  • Family Nurse Practitioner
  • Boone, NC
National Provider Identifier
1346324159
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200890 Issued in NC
Practice address
222 Longvue Dr
Boone, NC 28607-5060
Phone
(828) 355-9624
Fax
(828) 355-9626
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200890 NC Primary

Addresses

Primary practice location

222 Longvue Dr
Boone, NC 28607-5060

Mailing address

222 Longvue Dr
Boone, NC 28607-5060
Phone (828) 355-9624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20091204000513 NC Practitioner - Nurse Practitioner 4880733708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Laurel Family Practice, PLLCGroup PAC ID 9133268055, 3 clinicians

Practice addresses (Care Compare)

222 Longvue Dr
Boone, NC 28607-5060
Phone (828) 355-9624

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200890NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Laurel Family Practice, PLLC CurrentSince Dec 4, 2009 Accepting new patients

Locations

222 Longvue Dr
Boone, NC 28607
Phone (828) 355-9624

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1346324159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-355-9624",
            "fax_number": "828-355-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-355-9624",
            "fax_number": "828-355-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-FRITCHIE",
        "first_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.