Larissa Suzette Leiva Pelaez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

10363 Issued in NE

Practice address

983135 Nebraska Medical Ctr
Omaha, NE 68198-3082

Phone

(402) 559-4186

NPI assigned

Jan 31, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1669285649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983135 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681983135",
            "telephone_number": "402-559-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983135 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681983082",
            "telephone_number": "402-559-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA PELAEZ",
        "first_name": "LARISSA",
        "middle_name": "SUZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "10363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Leishman-Barb, DO
• Rebecca Leistico, DNP
• Jacqueline Marie Leisure
• Kaleigh Renee Leisy, APRN
• Shelley Leitner
• Leland Medical, Inc.
• Carrie Beth Lemar, LCSW
• Adjovi Gloria Lembila Akpaki
• Jason Lemen, LMHP LADC
• Heidi Lemke

• Student in an Organized Health Care Education/Training Program in Omaha, NE
• Providers in Omaha, NE by specialty
• Student in an Organized Health Care Education/Training Program in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.