Individual provider Active NPI

Leigh Ann Breckenridge, NP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1477800092
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176842 Issued in VA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130809000480 TN Practitioner - Nurse Practitioner 7911149562 Reassigns benefits to 1 organization
I20190320003327 VA Practitioner - Nurse Practitioner 7911149562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Jun 19, 2018 Accepting new patients
Vernon J Harris East End Community Health Center Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jan 23, 2025 Accepting new patients
Kidmed Inc. Current Accepting new patients
Cherokee Health Systems CurrentSince Jun 19, 2018 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jan 23, 2025 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Nourish2Flourishrva LLC PastSince Jan 4, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.