Individual provider Active NPI

Lisa A Leidy, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
National Provider Identifier
1568048585
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L80011067 Issued in DE
Practice address
156 S State Street Aly
Dover, DE 19904-7348
Phone
(302) 674-2380
NPI assigned
Mar 21, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X L80011067 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L80011067 DE Primary
Registered Nurse 163W00000X L1-0067103 DE

Addresses

Primary practice location

156 S State Street Aly
Dover, DE 19904-7348

Mailing address

156 S State Street Aly
Dover, DE 19904-7348
Phone (302) 674-2380

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0067103DEMDRegistered Nurse
L80011067DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Institute of Behavioral Sciences Current Accepting new patients
The Mind and Body Consortium, LLC. Nurse Practitioner Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1568048585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S STATE STREET ALY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047348",
            "telephone_number": "302-674-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S STATE STREET ALY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047348",
            "telephone_number": "302-674-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDY",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L80011067",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L80011067",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0067103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.