Individual provider Active NPI

Carla Dawn Leuschen, MSN, CNS, FNP, RN

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1578654422
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000012826 Issued in TN
Practice address
3400 Lebanon Rd
Medical SVC/Primary Care-111
Murfreesboro, TN 37129-1237
Phone
(615) 867-6111
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 515308 CA
Adult Health Clinical Nurse Specialist 364SA2200X 1857 CA
Family Nurse Practitioner 363LF0000X APN0000012826 TN Primary

Addresses

Primary practice location

3400 Lebanon Rd
Medical SVC/Primary Care-111
Murfreesboro, TN 37129-1237

Mailing address

3400 Lebanon Rd
Attn: Firm B
Murfreesboro, TN 37129-1237
Phone (615) 225-4830

Other identifiers 2

IdentifierTypeStateIssuer
APN0000012826OtherTNCERTIFICATE OF FITNESS
14750OtherCANURSE PRACTITIONER FURNIS

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
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
515308CAMDFamily Nurse Practitioner
APN0000012826TNMDFamily Nurse Practitioner
1857CAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1578654422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "address_2": "ATTN: FIRM B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291237",
            "telephone_number": "615-225-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "address_2": "MEDICAL SVC/PRIMARY CARE-111",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291237",
            "telephone_number": "615-867-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUSCHEN",
        "first_name": "CARLA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNS, FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "515308",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "1857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FITNESS",
            "identifier": "APN0000012826",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNIS",
            "identifier": "14750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.