Leadeth Stillwaters

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LEADETH STILLWATERS

Practice address

712 H St NE Ste 1628
Washington, DC 20002-3627

Phone

(301) 265-5922

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Fatima Muna Koroma, NPNPI 1285228452

Title

Ceo

Phone

(571) 277-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatima Muna Koroma, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxon Hill, MD
  • NPI 1285228452

  VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1497467641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 CHARLEVILLE BLVD STE 1216",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123017",
            "telephone_number": "301-265-5922",
            "fax_number": "475-275-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 H ST NE STE 1628",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627",
            "telephone_number": "301-265-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADETH STILLWATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "MUNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-277-1111",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malorie D Leach, MS, CCC-SLP
• Rachel Leach
• Ryan L Leach, MPAS, PA-C
• Samantha Lavinia Leach
• Serena Leach
• Heather Leigh Leahy, PSY.D.
• Angela Nicolle Leak
• Anthony Leak
• Asia Vianna Mack Leak
• Donice Leak, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.