Leah Thyberg Rundlett, DNP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R245651 Issued in MD

Practice address

1212 Severnview Dr
Crownsville, MD 21032-1105

Phone

(443) 280-4637

NPI assigned

Aug 18, 2023

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 MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johns Hopkins Regional Physicians LLCGroup PAC ID 3274720552, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lthyberg580669@direct.hopkinsmedicine.org

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.

• Johns Hopkins Regional Physicians LLC

  dba Cardiovascular Specialists of Central Maryland

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1609195320
  Medicare reassignment Care Compare group NPD
• Johns Hopkins Regional Physicians LLC

  dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1871454934
  NPD
• Johns Hopkins Regional Physicians LLC

  dba Children's Heart Institute

  • Pediatric Cardiology Physician
  • Herndon, VA
  • NPI 1245975796
  NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1407639743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SEVERNVIEW DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321105",
            "telephone_number": "443-280-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SEVERNVIEW DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321105",
            "telephone_number": "443-280-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLETT",
        "first_name": "LEAH",
        "middle_name": "THYBERG",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R245651",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R245651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a. Pascal Youth & Family Services, Inc.
• Robert a. Pascal Youth and Family Services, Inc.
• Robert a. Pascal Youth and Family Services, Inc.
• Robert a. Pascal Youth and Family Services, Inc.
• Robert a. Pascal Youth and Family Services, Inc.
• Mary Salazar
• Tiffany Michelle Sands, LCPC
• Sandstone Care Maryland, LLC (Sandstone Care)
• Shannon Scearce
• Laurie Anne Booth Schmitt, LCSW-C

• Nurse Practitioner in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.