Individual provider Active NPI

Leslie Michaelene Habegger, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1366886103
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 06965-NP Issued in OH
Practice address
1 Seagate Ste 1960
Toledo, OH 43604-1522
Phone
(419) 247-2880
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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 COA 06965-NP OH Primary

Addresses

Primary practice location

1 Seagate Ste 1960
Toledo, OH 43604-1522

Mailing address

5401 Dry Creek Rd
Northwood, OH 43619-2681
Phone (419) 698-9745

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 06965-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1366886103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 DRY CREEK RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436192681",
            "telephone_number": "419-698-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 1960",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041522",
            "telephone_number": "419-247-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEGGER",
        "first_name": "LESLIE",
        "middle_name": "MICHAELENE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 06965-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.