Active NPI
Leigh Ann Breckenridge, NP
- Family Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024176842
- Practice address
- 401 N 11TH St
Richmond, VA 23219 - Phone
- (804) 828-4409
- Fax
- (804) 828-6084
- NPI assigned
- Aug 14, 2012
- Last updated
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176842 | VA | Primary |
Addresses
Primary practice location
401 N 11TH St
Richmond, VA 23219
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8950
Other practice location 2
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282
Other names 1
- Leigh Ann Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Kidmed Inc. | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Adult Primary Care of Memphis PC | Past | Accepting new patients | |
| Nourish2Flourishrva LLC | Past | Accepting new patients |
Locations
2146 Frayser Blvd
Memphis, TN 38127
Phone (901) 302-4361
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437
5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437
2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968
2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403
2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818
719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969
20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJBDAA
- leighannbreckenridge@kidmed.allscriptsdirect.net
Organizations & group practices 8
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.
-
dba Capital Area Health Network
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1295707966
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
dba Capital Area Health Network - Henderson Health Services
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1366920530
-
dba Capital Area Health Network - Vernon J. Harris Medical Center
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1972636330
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1477800092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N 11TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-828-4409",
"fax_number": "804-828-6084"
}
],
"practiceLocations": [
{
"address_1": "9000 Stony Point Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351900",
"country_code": "US",
"telephone_number": "804-560-8950",
"fax_number": "804-560-7343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7300 Ashlake Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "VA",
"postal_code": "238322827",
"country_code": "US",
"telephone_number": "804-256-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRECKENRIDGE",
"first_name": "LEIGH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEIGH ANN",
"last_name": "LEWIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.