Individual provider Active NPI

Deborah L Leeper, CRNA

  • Anesthesiology Physician
  • Goodlettsville, TN
National Provider Identifier
1538245147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
RN32198 Issued in TN
Practice address
907 Rivergate Pkwy
Suite C2020
Goodlettsville, TN 37072-2324
Phone
(800) 228-0249
Fax
(252) 222-3602
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X RN32198 TN Primary

Addresses

Primary practice location

907 Rivergate Pkwy
Suite C2020
Goodlettsville, TN 37072-2324

Mailing address

PO Box 39
Morehead City, NC 28557-0039
Phone (800) 228-0249

Other identifiers 2

IdentifierTypeStateIssuer
3002445OtherTNTNCARE-BC SELECT
3002445OtherTNBLUE CROSS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN32198TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Nunley D.O., P.C. Past Accepting new patients
James C. Loden, MD PC Past Accepting new patients
Premier Medical Group PC Past Accepting new patients
Nashville TN Ophthalmology ASC LLC Past Accepting new patients

Organizations & group practices 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538245147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570039",
            "telephone_number": "800-228-0249",
            "fax_number": "252-222-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 RIVERGATE PKWY",
            "address_2": "SUITE C2020",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722324",
            "telephone_number": "800-228-0249",
            "fax_number": "252-222-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "RN32198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNCARE-BC SELECT",
            "identifier": "3002445",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3002445",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.