Active NPI
Leisha Kalb Puryear, RN
- Plastic Surgery Registered Nurse
- Henrico, VA
National Provider Identifier
1578245247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 0001269696
- Practice address
- 12018 W Broad St
Henrico, VA 23233-7796 - Phone
- (804) 287-2022
- NPI assigned
- Aug 2, 2023
- 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 |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 0001269696 | VA | Primary |
Addresses
Primary practice location
12018 W Broad St
Henrico, VA 23233-7796
Mailing address
12018 W Broad St Ste 102
Henrico, VA 23233-7796
Phone (180) 428-7202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001269696 | VA | MD | Plastic Surgery Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1578245247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12018 W BROAD ST STE 102",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337796",
"telephone_number": "180-428-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12018 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337796",
"telephone_number": "804-287-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURYEAR",
"first_name": "LEISHA",
"middle_name": "KALB",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "VA",
"license": "0001269696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.