Individual provider Active NPI

Leah Naftalowitz, APRN

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1366088734
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019033965 Issued in MO
Practice address
6406 Wise Ave
Saint Louis, MO 63139-3315
Phone
(314) 645-8648
NPI assigned
Nov 20, 2019
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 2019033965 MO Primary

Addresses

Primary practice location

6406 Wise Ave
Saint Louis, MO 63139-3315

Mailing address

6406 Wise Ave
Saint Louis, MO 63139-3315
Phone (618) 444-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200730002472 MO Practitioner - Nurse Practitioner 9234554718 Reassigns benefits to 1 organization
I20200918001182 IL Practitioner - Nurse Practitioner 9234554718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice of Greater St. Louis, LLCGroup PAC ID 0446260962, 6 clinicians
Unity Hospice GSL LLCGroup PAC ID 6406037274, 8 clinicians

Practice addresses (Care Compare)

1604 Eastport Plaza Dr
Suite 102
Collinsville, IL 62234-6133
Phone (618) 346-1111

6406 Wise Ave
Saint Louis, MO 63139-3315
Phone (314) 645-8648

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice GSL, LLC CurrentSince Jul 16, 2023 Accepting new patients
Unity Hospice GSL, LLC CurrentSince Jul 1, 2020 Accepting new patients
Unity Hospice of Greater St Louis LLC CurrentSince Jul 1, 2020 Accepting new patients
Unity Hospice of Greater St Louis LLC CurrentSince Jul 16, 2023 Accepting new patients

Locations

1604 Eastport Plaza Dr
Ste 102
Collinsville, IL 62234
Phone (618) 346-1111

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

6406 Wise Ave
Saint Louis, MO 63139
Phone (314) 636-4891

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1366088734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 WISE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393315",
            "telephone_number": "618-444-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 WISE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393315",
            "telephone_number": "314-645-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFTALOWITZ",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019033965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.