Individual provider Active NPI

Leah Cannady Hester, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1497384754
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1833 Forest Dr Ste a
Annapolis, MD 21401-4580
Phone
(410) 216-9180
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1833 Forest Dr Ste a
Annapolis, MD 21401-4580

Mailing address

91 Cathedral St FL 2
Annapolis, MD 21401-2789
Phone (270) 945-5053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MD2 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
I20200911001272 OK Practitioner - Physician Assistant 0042638710 Reassigns benefits to 1 organization
I20220808001581 MD Practitioner - Physician Assistant 0042638710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Care LLCGroup PAC ID 3870870843, 6 clinicians

Practice addresses (Care Compare)

507 NE 12TH St
Moore, OK 73160-5807
Phone (405) 237-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4414OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1497384754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CATHEDRAL ST FL 2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012789",
            "telephone_number": "270-945-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "LEAH",
        "middle_name": "CANNADY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.