Individual provider Active NPI

Leesa Maire Emenaker, RN, BSN, OCN

  • Oncology Registered Nurse
  • Aberdeen Proving Ground, MD
National Provider Identifier
1669539631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
R9128107 Issued in MD
Practice address
2501 Oakington St
Aberdeen Proving Ground, MD 21005-5131
Phone
(410) 278-5432
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X R9128107 MD Primary

Addresses

Primary practice location

2501 Oakington St
Aberdeen Proving Ground, MD 21005-5131

Mailing address

1705 Pebble Beach Dr
Elkton, MD 21921-6345
Phone (757) 270-5830

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R9128107MDMDOncology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669539631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PEBBLE BEACH DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216345",
            "telephone_number": "757-270-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OAKINGTON ST",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "210055131",
            "telephone_number": "410-278-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMENAKER",
        "first_name": "LEESA",
        "middle_name": "MAIRE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, OCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "MD",
            "license": "R9128107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen Proving Ground, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.