Individual provider Active NPI

Natalia Selene Leistner, ARNP

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1689909210
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75028 Issued in KS
Practice address
1410 Kasold Dr Ste A3
Lawrence, KS 66049-3427
Phone
(785) 423-6611
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5375028072 KS
Family Nurse Practitioner 363LF0000X 53-75028 KS Primary

Addresses

Primary practice location

1410 Kasold Dr Ste A3
Lawrence, KS 66049-3427

Mailing address

1410 Kasold Dr Ste A3
Lawrence, KS 66049-3427
Phone (785) 423-6611

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75028KSMDFamily Nurse Practitioner
5375028072KSMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: natalia.leistner.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1689909210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 KASOLD DR STE A3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493427",
            "telephone_number": "785-423-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KASOLD DR STE A3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493427",
            "telephone_number": "785-423-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTNER",
        "first_name": "NATALIA",
        "middle_name": "SELENE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375028072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.