Terri Lynn Leiser-Gross, APRN, CNM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9334983 Issued in FL

Practice address

1511 Truman Ave
Key West, FL 33040-7252

Phone

(305) 294-4004

Fax

(305) 294-2197

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1669446910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-294-4004",
            "fax_number": "305-294-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-294-4004",
            "fax_number": "305-294-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISER-GROSS",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9334983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12152659",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2075021",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD - FLORIDA BLULE",
            "identifier": "4UNO2",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1669446910",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108745100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "305-294-2197",
            "affiliation": "N",
            "endpointDescription": "FAX number",
            "address_1": "1511 Truman Ave",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330407252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lee Dental Group, Inc.
• Heather L Lee, MSN, AGNP, OCN
• Winnie Sita Lee, DDS
• Jackie Klein Lefferts, M.D.
• David Leibman, HAS
• Lori Rose Leonhardt, M.D.
• Consuelo Victa Leopold, CAP
• Josie Renee Mintz Lesperance, MA, LMT, C-MLD
• Darold Phillip Leto, D.C.
• Lieske Chiropractic PLLC

• Nurse Practitioner in Key West, FL
• Providers in Key West, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.