Individual provider Active NPI

Leisa Lynn Leber, LMT

  • Specialist
  • Elizabethtown, PA
National Provider Identifier
1366715021
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MSG002784 Issued in PA
Practice address
28 S Poplar St
S-101
Elizabethtown, PA 17022-2158
Phone
(717) 367-2718
NPI assigned
Feb 10, 2012
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MSG002784 PA Primary

Addresses

Primary practice location

28 S Poplar St
S-101
Elizabethtown, PA 17022-2158

Mailing address

28 S Poplar St
S-101
Elizabethtown, PA 17022-2158
Phone (717) 367-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSG002784PAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1366715021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S POPLAR ST",
            "address_2": "S-101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222158",
            "telephone_number": "717-367-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S POPLAR ST",
            "address_2": "S-101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222158",
            "telephone_number": "717-367-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBER",
        "first_name": "LEISA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MSG002784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.