Individual provider Active NPI

Susan Marie Leach, CNM

  • Advanced Practice Midwife
  • Knoxville, TN
National Provider Identifier
1609428382
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN0000025437 Issued in TN
Practice address
1928 Alcoa Hwy Ste B205
Knoxville, TN 37920-1504
Phone
(865) 305-4305
Fax
(865) 305-4067
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN0000025437 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy Ste B205
Knoxville, TN 37920-1504

Mailing address

PO Box 589
Winfield, TN 37892-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114003007 TN Practitioner - Certified Nurse Midwife (CNM) 6204268121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN0000025437TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Sep 1, 2019 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Advanced Practice Midwife CurrentSince Sep 1, 2019 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1928 Alcoa Hwy
Ste B205
Knoxville, TN 37920
Phone (865) 305-4305

1928 Alcoa Hwy
Ste 205
Knoxville, TN 37920
Phone (865) 305-4305

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 4

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1609428382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "WINFIELD",
            "state": "TN",
            "postal_code": "378920589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE B205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201504",
            "telephone_number": "865-305-4305",
            "fax_number": "865-305-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN0000025437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.