Active NPI
Geronna Martin Leonards, NP
- Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP06812
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (770) 874-5439
- Fax
- (770) 874-5483
- NPI assigned
- May 19, 2012
- Last updated
- May 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP06812 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
205 Lake Cove Rd
Rayne, LA 70578-7679
Phone (337) 334-2525
Other names 1
- Geronna Deidre Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opelousas Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Crowley Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Abbeville Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Coolidge Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Louisiana Emergency Physicians, LLC | Past | Accepting new patients | |
| Pediatric Medical Group of Santa Maria Inc | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
Interoperability endpoints
- geronna.leonards.1@32391.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Abbeville, LA
- NPI 1760799290
Nurse Practitioner
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1801140934
Nurse Practitioner
-
- Emergency Medicine Physician
- Crowley, LA
- NPI 1508275538
Nurse Practitioner
-
- Emergency Medicine Physician
- Opelousas, LA
- NPI 1477522704
Nurse Practitioner
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1265488779
-
- Pediatrics Physician
- Santa Maria, CA
- NPI 1811091952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337385600000",
"number": "1417217860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LAKE COVE RD",
"city": "RAYNE",
"state": "LA",
"postal_code": "705787679",
"telephone_number": "337-334-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "770-874-5439",
"fax_number": "770-874-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARDS",
"first_name": "GERONNA",
"middle_name": "MARTIN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-19",
"last_updated": "2012-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP06812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERONNA",
"last_name": "MARTIN",
"middle_name": "DEIDRE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.