Individual provider Active NPI

Helen Leitl, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Sea Cliff, NY
National Provider Identifier
1508075938
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380854 Issued in NY
Practice address
Sco Family of Services, Infirmary
Park and Downing Avenues
Sea Cliff, NY 11579
Phone
(516) 671-1111
Fax
(516) 671-7673
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380854 NY Primary

Addresses

Primary practice location

Sco Family of Services, Infirmary
Park and Downing Avenues
Sea Cliff, NY 11579

Mailing address

29 Kellum St
Huntington Station, NY 11746-3867
Phone (516) 671-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F380854NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1508075938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 KELLUM ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463867",
            "telephone_number": "516-671-1111",
            "fax_number": "516-671-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCO FAMILY OF SERVICES, INFIRMARY",
            "address_2": "PARK AND DOWNING AVENUES",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "11579",
            "telephone_number": "516-671-1111",
            "fax_number": "516-671-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITL",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.