Active NPI
Natalia Selene Leistner, ARNP
- Family Nurse Practitioner
- Lawrence, KS
National Provider Identifier
1689909210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-75028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75028 | KS | MD | Family Nurse Practitioner |
| 5375028072 | KS | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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.