Leigh Ann Fromm, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209018147 Issued in IL

Practice address

813 E 4TH St Ste a
Mount Vernon, IN 47620-2012

Phone

(812) 450-1325

Fax

(812) 838-9214

NPI assigned

Sep 11, 2018

Last updated

Jan 13, 2021By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1437632981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 NEW MARKET RD",
            "city": "RIDGWAY",
            "state": "IL",
            "postal_code": "629792506",
            "telephone_number": "620-238-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E 4TH ST STE A",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-450-1325",
            "fax_number": "812-838-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMM",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009272A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018147",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041418907",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209018147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dickerson, PHARMD
• Carrie Dunn
• William Wayne Etherton Jr., PT
• Ann Marie Fisher, COTA
• Hayden C Folz, DPT
• Janos T. Fullop, D.M.D.
• Darlene Ghrist
• Megan E Ghrist, DPT
• Alex Godinez, PTA
• Valerie Hamilton

• Psychiatric/Mental Health Nurse Practitioner in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.