Active NPI
Leesa R Hartz, CRNA
- Certified Registered Nurse Anesthetist
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-083549
- Practice address
- 1 Hospital Dr SW
Anesthesia Dept
Huntsville, AL 35801-6455 - Phone
- (256) 880-4187
- Fax
- (256) 880-4797
- NPI assigned
- Jul 10, 2006
- Last updated
- Dec 7, 2012
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-083549 | AL | Primary |
Addresses
Primary practice location
1 Hospital Dr SW
Anesthesia Dept
Huntsville, AL 35801-6455
Mailing address
PO Box 5538
Fresno, CA 93755-5538
Phone (559) 436-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075106 | Other | AL | CCNA # |
| 1-083549 | Other | AL | RN & CRNA LICENSE # |
| 515-33143 | Other | AL | BLUE CROSS HOSPITAL BASED |
| 051533143 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120
1041 Balch Rd
Suite 375
Madison, AL 35758-8820
Phone (256) 258-9940
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varicosity LLC | Current | Accepting new patients | |
| Heca, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Best Vein Care of Huntsville, LLC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Alabama Anesthesia of Huntsville LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Crestwood Healthcare LP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989
2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488
201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851
2010 S Point Park Cir
Apt 170
Huntsville, AL 35801
Phone (256) 715-7151
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
1041 Balch Rd
Ste 375
Madison, AL 35758
Phone (256) 258-9940
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Huntsville, AL
- NPI 1518473073
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1336683135
Nurse Anesthetist, Certified Registered
-
- Vascular Surgery Physician
- Birmingham, AL
- NPI 1114968575
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Pain Medicine (Anesthesiology) Physician
- Huntsville, AL
- NPI 1124089594
Nurse Anesthetist, Certified Registered
-
dba Crestwood Medical Center
- Addiction Medicine (Family Medicine) Physician
- Huntsville, AL
- NPI 1457370470
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shelbyville, TN
- NPI 1124455969
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1356375869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5538",
"city": "FRESNO",
"state": "CA",
"postal_code": "937555538",
"telephone_number": "559-436-1000",
"fax_number": "559-354-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR SW",
"address_2": "ANESTHESIA DEPT",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016455",
"telephone_number": "256-880-4187",
"fax_number": "256-880-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "LEESA",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-083549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCNA #",
"identifier": "075106",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN & CRNA LICENSE #",
"identifier": "1-083549",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOSPITAL BASED",
"identifier": "515-33143",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051533143",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.