Derek Alexander Leiss, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4474 Issued in OR

Practice address

819 SE Morrison St Ste 115
Portland, OR 97214-6308

Phone

(503) 956-9396

NPI assigned

Oct 5, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Heart Spring Health LLC

  • Naturopath
  • Portland, OR
  • NPI 1043572852
  NPD (past)
• The Rewilding Practice LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1891672903
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1689399339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123302",
            "telephone_number": "480-262-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146308",
            "telephone_number": "503-956-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISS",
        "first_name": "DEREK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tegan Leipzig
• Whitney Leipzig, PT
• Koree Dianne Karr Leisenring, RN
• Christi Leiser
• Michelle Zippora Leisner, MS, MPH
• William Leissner, PSS
• Daniel Gavin Leister-Gray
• Tianna Marie Leitch, PHARMD
• Kaahukane Gabriel Leite-Ah Yo, MD
• Lua Angelina Leite

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.