Leah Chamblin Vestal

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

306708 Issued in NC

Practice address

211 S Tradd St
Statesville, NC 28677-5859

Phone

(828) 655-2930

NPI assigned

Aug 2, 2023

Sex

Female

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

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1699457440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BRIARCLIFF RD",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556870",
            "telephone_number": "336-831-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775859",
            "telephone_number": "828-655-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTAL",
        "first_name": "LEAH",
        "middle_name": "CHAMBLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "306708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Vaughn, MA, LPC
• Vaughters Specialized Consultative Services LLC
• Jamar Vaughters
• Esmeralda Vega Luna
• Erica L Velez, LMSW
• Kristen Vestigo, PA-C
• Candace N Viada, PHARMD
• Vitality Medical Services, PLLC
• Elliott Jonathan Vizel, M.D.
• Valencia Sue Von Dran, LPC, LCAS

• Adult Psychiatric/Mental Health Registered Nurse in Statesville, NC
• Providers in Statesville, NC by specialty
• Adult Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.