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Individual provider Active NPI

Tami Leeberg, APRN

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1487033882
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9435838 Issued in FL
Practice address
1344 S Apollo Blvd Ste 2C
Melbourne, FL 32901-3183
Phone
(321) 429-2677
Fax
(321) 456-5444
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9435838 FL Primary

Addresses

Primary practice location

1344 S Apollo Blvd Ste 2C
Melbourne, FL 32901-3183

Mailing address

5835 Brabrook Ave
Grant, FL 32949-2130
Phone (812) 350-9187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122001007 FL Practitioner - Nurse Practitioner 9133434715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Solutions Mind and Body, LLC.Group PAC ID 9830613652, 2 clinicians

Practice addresses (Care Compare)

Melbourne, FL 32901
Phone (321) 429-2677

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
  • Mederi Caretenders Home health agency, Vero Beach, FL, CCN 107036
  • HCA Florida Healthcare at Home Home health agency, Melbourne, FL, CCN 107612
  • Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9435838FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Solutions Mind & Body, LLC CurrentSince Mar 1, 2025 Accepting new patients
Practitioners in Motion PLLC CurrentSince Aug 29, 2016 Accepting new patients
Extended Care Specialists, Inc PastSince Oct 6, 2024 Accepting new patients
A Kut Above Mobile Medical Inc PastSince Mar 1, 2025 Accepting new patients

Locations

1900 S Harbor City Blvd
Ste 232
Melbourne, FL 32901
Phone (321) 216-2288

1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288

2263 W New Haven Ave
#350
West Melbourne, FL 32904
Phone (321) 216-2288

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1487033882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 BRABROOK AVE",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492130",
            "telephone_number": "812-350-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 2C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-429-2677",
            "fax_number": "321-456-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEBERG",
        "first_name": "TAMI",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9435838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.