Active NPI
Leydi Marcela Espinosa, DNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Norcross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- PMH08240005
- Practice address
- 5855 Jimmy Carter Blvd Ste 200
Norcross, GA 30071-2984 - Phone
- (404) 644-2257
- NPI assigned
- Apr 10, 2023
- Last updated
- Aug 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NR17238100 | NJ | |
| Family Nurse Practitioner | 363LF0000X | RN302178 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | PMH08240005 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | PMH08240005 | GA | Primary |
Addresses
Primary practice location
5855 Jimmy Carter Blvd Ste 200
Norcross, GA 30071-2984
Mailing address
710 Dacula Rd Ste 4A310
Dacula, GA 30019-7061
Phone (973) 800-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN302178 | GA | MD | Family Nurse Practitioner |
| 26NR17238100 | NJ | MD | Family Nurse Practitioner |
| PMH08240005 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| PMH08240005 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilingual Mental Health Evaluations of Georgia, Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
5855 Jimmy Carter Blvd
Ste 200
Norcross, GA 30071
Phone (404) 630-1361
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
CT, DC, Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norcross, GA
- NPI 1104606029
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723939200000",
"number": "1548955271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 DACULA RD STE 4A310",
"city": "DACULA",
"state": "GA",
"postal_code": "300197061",
"telephone_number": "973-800-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 JIMMY CARTER BLVD STE 200",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712984",
"telephone_number": "404-644-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "LEYDI",
"middle_name": "MARCELA",
"name_prefix": "Dr.",
"credential": "DNP, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2024-08-18",
"certification_date": "2024-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NR17238100",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN302178",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "PMH08240005",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "PMH08240005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
- Letisha Renee Erb, LCSW,LMSW
- Jaime Lynn Eskridge, MA, CCC-SLP
- Esop Rehabilitation LLC (Emory & Select Physical Therapy)
- Yadira Alejandra Esparza
- Adriana Espinosa, R.N.
- Essilor Laboratories of America, Inc (Southern Optical)
- Johanna Estevez, LMFT
- Jessica Estrada, PA-C
- Anne Nzekellang Mbu Etonga, DC
- Shajae Evans
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.