Active NPI
Leanne M. Pahl-Jakab, R.N., A.P.N.P.
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1558462002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1830-033
- Practice address
- 9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559 - Phone
- (414) 257-6995
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1830-033 | WI | Primary |
Addresses
Primary practice location
9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Mailing address
9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Phone (414) 257-6995
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1830 | WI | MD | Surgical Physician Assistant |
| 1830-033 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Milwaukee | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558462002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9455 W WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263559",
"telephone_number": "414-257-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 W WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263559",
"telephone_number": "414-257-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHL-JAKAB",
"first_name": "LEANNE",
"middle_name": "M.",
"credential": "R.N., A.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1830-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
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.