Individual provider Active NPI

Lena Leishman, NP-C, RN, BSN

  • Nurse Practitioner
  • Dededo, GU
National Provider Identifier
1487195053
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-0161 Issued in GU
Practice address
133 Route 3
GRMC Emergency Dept
Dededo, GU 96929-6911
Phone
(671) 645-5500
NPI assigned
Mar 16, 2017
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-0161 GU Primary
Family Nurse Practitioner 363LF0000X 0024173872 VA
Family Nurse Practitioner 363LF0000X NP-0161 GU
Registered Nurse 163W00000X 0001227453 VA
Registered Nurse 163W00000X 95113915 CA
Registered Nurse 163W00000X 201606167RN OR
Registered Nurse 163W00000X RE2225 GU

Addresses

Primary practice location

133 Route 3
GRMC Emergency Dept
Dededo, GU 96929-6911

Mailing address

133 Route 3
Guam Regional Medical City
Dededo, GU 96929-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170606002594 GU Practitioner - Nurse Practitioner 2769759125 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

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95113915CAMDRegistered Nurse
RE2225GUMDRegistered Nurse
201606167RNORMDRegistered Nurse
0001227453VAMDRegistered Nurse
NP-0161GUMDNurse Practitioner
0024173872VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince May 22, 2017 Accepting new patients
Takecare Insurance Company Inc. CurrentSince Feb 11, 2020 Accepting new patients
Guam Healthcare Development Incorporated Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1487195053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "address_2": "GUAM REGIONAL MEDICAL CITY",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "address_2": "GRMC EMERGENCY DEPT",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911",
            "telephone_number": "671-645-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISHMAN",
        "first_name": "LENA",
        "credential": "NP-C, RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GU",
            "license": "NP-0161",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP-0161",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001227453",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95113915",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201606167RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RE2225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

Verify at the official NPI Registry.