Leah Engebretson, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP61415835 Issued in WA

Practice address

971 11TH Ave
Longview, WA 98632-2503

Phone

(360) 577-1771

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lengebretson@hpc.ssdirect.aprima.com

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.

• Hillsboro Pediatric Clinic LLC

  • Pediatrics Physician
  • Hillsboro, OR
  • NPI 1245312842
  NPD (past)

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1487357844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 SW BROAD OAK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970074625",
            "telephone_number": "406-871-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322503",
            "telephone_number": "360-577-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEBRETSON",
        "first_name": "LEAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61415835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila L Elting, LMP
• William J Elton, MD
• Matthew Elyea, PA-C
• Elysium Anesthesia, PLLC
• Licia Monique Emanuel-Moffett, CDPT
• Lacey Nicole Engelmann, LMP
• Breanne Enriquez, AA, SUDP
• Equilibrium Chiropractic, LLC
• Terra Erickson
• Angela Marie Escobar, MSN, FNP-BC

• Pediatric Nurse Practitioner in Longview, WA
• Providers in Longview, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.