Leah Lamb Rybolt

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

903740 Issued in MS

Practice address

2000 N State St
Clarksdale, MS 38614-6100

Phone

(662) 627-7361

Fax

(662) 627-5106

NPI assigned

Jan 31, 2020

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, AR2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Panola Medical Center Hospital, Batesville, MS, CCN 250781
• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  AR

  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation
• Sta-Home Health Agency of Greenwood, Inc.

  dba AccentCare Home Health of Greenwood

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  Care Compare affiliation

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1407487069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146100",
            "telephone_number": "662-645-5324",
            "fax_number": "662-627-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146100",
            "telephone_number": "662-627-7361",
            "fax_number": "662-627-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386147202",
            "country_code": "US",
            "telephone_number": "662-645-5324",
            "fax_number": "662-624-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBOLT",
        "first_name": "LEAH",
        "middle_name": "LAMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903740",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Theodore Roberts
• Tiffany Kiana Roberts
• Evangela Roebuck, MSW
• Ross Wellness and Behavioral Health Services LLC
• Oquandryia Monique Ross, LCSW
• Wafa Saba, MD
• Sai Sanjeevani Medical Group LLC
• William Cameron Scott
• Sharinglyfe Non-Medical Care Agency
• Alexandria Shaw, PCHMT

• Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.