Individual provider Active NPI

Leanne Lott Tew, CRNP

  • Nurse Practitioner
  • Butler, AL
National Provider Identifier
1609947142
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1075117 Issued in AL
Practice address
1404 E Pushmataha St
Butler, AL 36904-2728
Phone
(205) 459-4488
Fax
(205) 459-3010
NPI assigned
Nov 13, 2006
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1075117 AL Primary

Addresses

Primary practice location

1404 E Pushmataha St
Butler, AL 36904-2728

Mailing address

PO Box 908
Meridian, MS 39302-0908
Phone (601) 703-4282

Other identifiers 1

IdentifierTypeStateIssuer
891001830MedicaidAL

Other names 1

  • Elaine Leanne Lott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080602000543 AL Practitioner - Nurse Practitioner 5395815427 Reassigns benefits to 3 organizations
I20250723001117 MS Practitioner - Nurse Practitioner 5395815427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians
Rush Hospital/Butler, IncGroup PAC ID 0244498368, 15 clinicians

Practice addresses (Care Compare)

1221 N Washington St
Livingston, AL 35470-5410
Phone (205) 652-9575

401 Vanity Fair Ave
Butler, AL 36904-3032
Phone (205) 459-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.18 of 100Reported as group
Quality
90.78
Improvement activities
40
Cost
53.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Hospital/Butler, Inc CurrentSince Jan 1, 2026 Accepting new patients
Kemper Cah, Inc. Past Accepting new patients
Medical Foundation, Inc. Past Accepting new patients
Physicians Care of Clarke PastSince Jan 29, 2023 Accepting new patients

Locations

401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1609947142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020908",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E PUSHMATAHA ST",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042728",
            "telephone_number": "205-459-4488",
            "fax_number": "205-459-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEW",
        "first_name": "LEANNE",
        "middle_name": "LOTT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1075117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891001830",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "LOTT",
            "middle_name": "LEANNE",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Butler, AL

Sources for this page

Verify at the official NPI Registry.