Individual provider Active NPI

Leonne Tanis, CNM, WHNP

  • Advanced Practice Midwife
  • Staten Island, NY
National Provider Identifier
1356086375
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F002225 Issued in NY
Practice address
439 Port Richmond Ave
Staten Island, NY 10302-1714
Phone
(718) 876-1732
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F002225 NY Primary

Addresses

Primary practice location

439 Port Richmond Ave
Staten Island, NY 10302-1714

Mailing address

69 Forest St
Montclair, NJ 07042-3810
Phone (718) 594-0366

Other identifiers 1

IdentifierTypeStateIssuer
F002225OtherNYNEW YORK STATE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltanis@chcrichmond.org Health Information Exchange (HIE)

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002897 NJ Practitioner - Certified Nurse Midwife (CNM) 7113308693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Richmond Inc.Group PAC ID 5597829416, 6 clinicians

Practice addresses (Care Compare)

235 Port Richmond Ave
Staten Island, NY 10302-1701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
002225NYMDPodiatrist
F002225NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Richmond, Inc CurrentSince Nov 1, 2024 Accepting new patients
OB Hospitalist Services New Jersey, PA CurrentSince Jul 1, 2025 Accepting new patients
Community Health Center of Richmond Inc PastSince Nov 1, 2024 Accepting new patients

Locations

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

235 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

439 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

235 Port Richmond Ave
#0
Staten Island, NY 10302

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ltanis3932381@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA

Organizations & group practices 3

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1356086375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FOREST ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423810",
            "telephone_number": "718-594-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021714",
            "telephone_number": "718-876-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "LEONNE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F002225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "F002225",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltanis@chcrichmond.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "439 Port Richmond Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103021714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.