Individual provider Active NPI

Leah Jean Reno Patterson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1386946069
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000146 Issued in DE
Practice address
30 E 23Rd St
New York, NY 10010-4408
Phone
(664) 650-5337
Fax
(646) 871-6820
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000146 DE Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401804 NY

Addresses

Primary practice location

30 E 23Rd St
New York, NY 10010-4408

Mailing address

1300 S Farmview Dr Apt C31
Dover, DE 19904-3386
Phone (302) 883-2134

Other names 1

  • Leah Jean Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY2 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
I20170706001476 DE Practitioner - Nurse Practitioner 2365711306 Reassigns benefits to 3 organizations
I20260326003850 NY Practitioner - Nurse Practitioner 2365711306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Treatment Network LLCGroup PAC ID 8820402993, 11 clinicians

Practice addresses (Care Compare)

1206 Forrest Ave
Dover, DE 19904-3311
Phone (877) 286-5115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0000146DEMDPsychiatric/Mental Health Nurse Practitioner
401804NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atn Physicians & Associates LLC CurrentSince Dec 30, 2023 Accepting new patients
Tranquil Moments LLC Psychiatric/Mental Health CurrentSince Sep 8, 2024 Accepting new patients
American Treatment Network LLC CurrentSince Dec 30, 2023 Accepting new patients

Locations

1206 Forrest Ave
Dover, DE 19904
Phone (302) 416-4453

1120 W Township Line Rd
Ste 200
Havertown, PA 19083
Phone (484) 451-8313

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1386946069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S FARMVIEW DR APT C31",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043386",
            "telephone_number": "302-883-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104408",
            "telephone_number": "664-650-5337",
            "fax_number": "646-871-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO PATTERSON",
        "first_name": "LEAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000146",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "PATTERSON",
            "middle_name": "JEAN",
            "credential": "NP PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.