Active NPI
Cynthia Renee Leatherwood, APRN, FNP-BC
- Family Nurse Practitioner
- Poteau, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 206451
- Practice address
- 105 Wall St
Poteau, OK 74953-4433 - Phone
- (918) 647-8161
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 206451 | OK | Primary |
Addresses
Primary practice location
105 Wall St
Poteau, OK 74953-4433
Mailing address
40048 Round MTN Rd
Howe, OK 74940-5002
Phone (918) 385-1595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220223000753 | OK | Practitioner - Nurse Practitioner | 5092109702 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leflore County Hospital Authority
Practice addresses (Care Compare)
104 Wall St
Eastern Oklahoma Medical Center
Poteau, OK 74953-4405
Phone (918) 647-8161
Hospital & facility affiliations
- Mays Housecall Home Health of Tulsa, LLC
- Heritage Home Care, Inc
- Compassion Home Care, Inc.
- Eastern Oklahoma Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leflore County Hospital Authority | Current | Accepting new patients | |
| Leflore County Hospital Authority | Single Specialty | Current | Accepting new patients |
| Leflore County Hospital Authority | Past | Accepting new patients |
Locations
304 Highway 59 N
Heavener, OK 74937
Phone (918) 653-2918
105 Wall St
Poteau, OK 74953
Phone (918) 635-3100
1013 Dewey Ave
Poteau, OK 74953
Phone (918) 647-2929
104 Wall St
Poteau, OK 74953
Phone (918) 635-3578
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Poteau, OK
- NPI 1043265895
OK, Single Specialty
-
- Rural Health Clinic/Center
- Heavener, OK
- NPI 1558740837
-
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
-
- Family Medicine Physician
- Poteau, OK
- NPI 1578026571
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Stigler, OK
- NPI 1891920211
-
- Home Health Agency
- Eufaula, OK
- NPI 1265132633
-
- Home Health Agency
- Tulsa, OK
- NPI 1063837706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1346993441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40048 ROUND MTN RD",
"city": "HOWE",
"state": "OK",
"postal_code": "749405002",
"telephone_number": "918-385-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WALL ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749534433",
"telephone_number": "918-647-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERWOOD",
"first_name": "CYNTHIA",
"middle_name": "RENEE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "206451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.