Leah Renae Vanthoor, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.12433-NP Issued in OH

Practice address

17876 Saint Clair Ave
Cleveland, OH 44110

Phone

(216) 383-2222

Fax

(216) 298-0241

NPI assigned

Jul 7, 2011

Last updated

May 20, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Hospice of the Western Reserve at University Hospitals, LLC

  • Community Based Hospice Care Agency
  • Cleveland, OH
  • NPI 1821561614
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Hospice of the Western Reserve, Inc.

  • Clinical Nurse Specialist
  • Cleveland, OH
  • NPI 1811163009
  Medicare reassignment

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1457648743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102602",
            "telephone_number": "216-383-2222",
            "fax_number": "216-298-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44110",
            "telephone_number": "216-383-2222",
            "fax_number": "216-298-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Beall Ave",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446912342",
            "country_code": "US",
            "telephone_number": "330-263-8265",
            "fax_number": "330-263-8285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANTHOOR",
        "first_name": "LEAH",
        "middle_name": "RENAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.12433-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vuthy Vann
• Cheryl L Vannoy, MS, LSW
• Rebecca Vano
• Madeline Cay Vanorman
• Vantage Place Inc
• Lubomyr Vantsa, AA
• Jeanette Carbone Varanelli, O.D.
• Joseph Varanese
• Patricia A Varanese, LSW
• Ali Varasteh, MD

• Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.

Verify at the official NPI Registry.