Active NPI
Leonne Tanis, CNM, WHNP
- Advanced Practice Midwife
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F002225
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F002225 | Other | NY | NEW YORK STATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002225 | NY | MD | Podiatrist |
| F002225 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Richmond, Inc | Current | Accepting new patients | |
| OB Hospitalist Services New Jersey, PA | Current | Accepting new patients | |
| Community Health Center of Richmond Inc | Past | 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
- ltanis3932381@nychhc.direct-ci.com
- 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.
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1114137403
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1952739054
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.