Individual provider Active NPI

Leandra Santos

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1710411285
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010435 Issued in PA
Practice address
833 Chestnut St FL 1
Philadelphia, PA 19107
Phone
(215) 955-6776
Fax
(215) 955-4020
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010435 PA Primary

Addresses

Primary practice location

833 Chestnut St FL 1
Philadelphia, PA 19107

Mailing address

833 Chestnut St FL 1
Philadelphia, PA 19107-4404
Phone (215) 955-6776

Other practice location 1

1601 Cherry St Ste 11511
Philadelphia, PA 19102-1310
Phone (215) 255-7822

Other practice location 2

2130 Spring Garden St
Philadelphia, PA 19130-3502
Phone (215) 955-9555

Other practice location 3

1302 Wolf St
Philadelphia, PA 19148-2912
Phone (215) 952-5170

Other practice location 4

3 Crescent Dr Fl 2
Philadelphia, PA 19112-1016
Phone (215) 503-7096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170613001367 PA Practitioner - Certified Nurse Midwife (CNM) 8123396389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

833 Chestnut St
Suite 1
Philadelphia, PA 19107-4420
Phone (215) 955-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW010435PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Sep 16, 2019 Accepting new patients
Drexel University Current Accepting new patients
Drexel University CurrentSince May 8, 2017 Accepting new patients
Drexel University CurrentSince May 8, 2017 Accepting new patients
City of Philadelphia Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

2130 Spring Garden St
Philadelphia, PA 19130
Phone (215) 955-9555

1302 Wolf St
Philadelphia, PA 19148
Phone (215) 952-5170

3001 Walnut St
Fl 4
Philadelphia, PA 19104
Phone (215) 386-3556

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096

3 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 503-3300

1700 S Broad St
Apt 201
Philadelphia, PA 19145
Phone (215) 685-1800

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

321 W Girard Ave
Philadelphia, PA 19123
Phone (215) 685-3803

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1710411285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "215-955-6776",
            "fax_number": "215-955-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-6776",
            "fax_number": "215-955-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Cherry St Ste 11511",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021310",
            "country_code": "US",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Spring Garden St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303502",
            "country_code": "US",
            "telephone_number": "215-955-9555",
            "fax_number": "215-955-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Wolf St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482912",
            "country_code": "US",
            "telephone_number": "215-952-5170",
            "fax_number": "215-952-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Crescent Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121016",
            "country_code": "US",
            "telephone_number": "215-503-7096",
            "fax_number": "215-503-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LEANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.