Active NPI
Lynn D. Leandro, GNP-BC
- Nurse Practitioner
- Lilburn, GA
National Provider Identifier
1649262908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN089022
- Practice address
- 1024B Garner Rd SW
Lilburn, GA 30047-6600 - Phone
- (404) 778-3732
- Fax
- (404) 778-3643
- NPI assigned
- Aug 22, 2005
- Last updated
- Oct 29, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN089022 | GA | Primary |
Addresses
Primary practice location
1024B Garner Rd SW
Lilburn, GA 30047-6600
Mailing address
1024B Garner Rd SW
Lilburn, GA 30047-6600
Phone (404) 778-3732
Other names 1
- Mrs. Lynn D. Heup
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN089022 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Medical Consulting, P.C. | Past | Accepting new patients | |
| Bethesda Hospital Inc | Past | Accepting new patients | |
| Atlanta Cancer Care | Past | Accepting new patients | |
| Northside Hospital, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1497794309
-
dba Atlanta Cancer Care
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1861416562
-
dba Georgia Long Term Care and Consulting
- Family Medicine Physician
- Tucker, GA
- NPI 1073562922
-
dba TriHealth Pharmacy Solutions
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1336160308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1649262908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024B GARNER RD SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476600",
"telephone_number": "404-778-3732",
"fax_number": "404-778-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024B GARNER RD SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476600",
"telephone_number": "404-778-3732",
"fax_number": "404-778-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEANDRO",
"first_name": "LYNN",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "GNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN089022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "HEUP",
"middle_name": "D.",
"prefix": "MRS.",
"credential": "GNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.