Individual provider Active NPI

Leah Lehr Verdream, PA-C

  • Medical Physician Assistant
  • Sanford, FL
National Provider Identifier
1477702223
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PAT9104771 Issued in FL
Practice address
1401 W Seminole Blvd
Sanford, FL 32771-6737
Phone
(407) 321-4500
NPI assigned
Sep 17, 2008
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PAT9104771 FL Primary

Addresses

Primary practice location

1401 W Seminole Blvd
Sanford, FL 32771-6737

Mailing address

4930 Dover St NE
Saint Petersburg, FL 33703-3213
Phone (813) 361-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9104771FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Emergency Medical Associates PA Past Accepting new patients
Clover Emergency Physicians LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lverdream21061@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1477702223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 DOVER ST NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033213",
            "telephone_number": "813-361-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W SEMINOLE BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716737",
            "telephone_number": "407-321-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDREAM",
        "first_name": "LEAH",
        "middle_name": "LEHR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9104771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.