Organization Active NPI

New Horizon Diabetes Clinic

  • Adult Health Clinical Nurse Specialist
  • Nashville, TN
National Provider Identifier
1376994657
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
17240 Issued in TN
Legal business name
NEW HORIZON DIABETES CLINIC
Practice address
390 Harding PL
St 102
Nashville, TN 37211-3998
Phone
(615) 840-7994
Fax
(615) 739-6678
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Luisa Fernanda Leal, DNP, MSN, MBA, ANPBCNPI 1720325830
Title
Doctor of Nursing Practice
Phone
(615) 840-7994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2200X 17240 TN Primary

Addresses

Primary practice location

390 Harding PL
St 102
Nashville, TN 37211-3998

Mailing address

390 Harding PL
St 102
Nashville, TN 37211-3998
Phone (615) 840-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161219000146 TN Part B Supplier - Clinic/Group Practice 1052691615 Receives reassigned benefits from 2 practitioners
Practice locations: Smyrna, TN

National Provider Directory

National Provider Directory

Locations

390 Harding Pl
Ste 102
Nashville, TN 37211
Phone (615) 837-9080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1376994657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HARDING PL",
            "address_2": "ST 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113998",
            "telephone_number": "615-840-7994",
            "fax_number": "615-739-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HARDING PL",
            "address_2": "ST 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113998",
            "telephone_number": "615-840-7994",
            "fax_number": "615-739-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON DIABETES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "FERNANDA",
        "authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
        "authorized_official_telephone_number": "615-840-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN, MBA, ANPBC"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "17240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.