Individual provider Active NPI

Teresa M Leverett, DO

  • Family Medicine Physician
  • North Hampton, NH
National Provider Identifier
1679542369
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9658 Issued in NH
Practice address
200 Lafayette Rd Ste 4
North Hampton, NH 03862-2461
Phone
(603) 373-7000
Fax
(603) 319-8154
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9658 NH Primary

Addresses

Primary practice location

200 Lafayette Rd Ste 4
North Hampton, NH 03862-2461

Mailing address

200 Lafayette Rd Ste 4
North Hampton, NH 03862-2461
Phone (603) 373-8700

Other identifiers 1

IdentifierTypeStateIssuer
80004352MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9658NHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1679542369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAFAYETTE RD STE 4",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622461",
            "telephone_number": "603-373-8700",
            "fax_number": "603-319-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAFAYETTE RD STE 4",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622461",
            "telephone_number": "603-373-7000",
            "fax_number": "603-319-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETT",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80004352",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hampton, NH

Sources for this page

Verify at the official NPI Registry.