Active NPI
Leanne Sermeno, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1629014196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP1714
- Practice address
- 4250 E Florian Ave
Building 1
Mesa, AZ 85206 - Phone
- (480) 844-1653
- Fax
- (480) 539-4947
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP1714 | AZ | Primary |
Addresses
Primary practice location
4250 E Florian Ave
Building 1
Mesa, AZ 85206
Mailing address
1372 E Saragosa St
Chandler, AZ 85225-2093
Phone (480) 634-8839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN122425 | Other | AZ | NURSING LICENSE |
| 791071 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Marc Community Resources, Inc. | Past | Accepting new patients | |
| Lifespan Behavioral Health, LLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Mesa, AZ
- NPI 1033229281
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1619912029
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629014196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 E SARAGOSA ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252093",
"telephone_number": "480-634-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 E FLORIAN AVE",
"address_2": "BUILDING 1",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-844-1653",
"fax_number": "480-539-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERMENO",
"first_name": "LEANNE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP1714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN122425",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "791071",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.