Individual provider Active NPI

Tiffany Leray, WHNP

  • Women's Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1730588633
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024171761 Issued in VA
Practice address
14999 Health Center Dr
#204
Bowie, MD 20716-1074
Phone
(301) 982-0657
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024171761 VA Primary

Addresses

Primary practice location

14999 Health Center Dr
#204
Bowie, MD 20716-1074

Mailing address

14999 Health Center Dr
#204
Bowie, MD 20716-1074
Phone (301) 626-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161227000617 DC Practitioner - Nurse Practitioner 9234410663 Reassigns benefits to 3 organizations
I20170803001682 MD Practitioner - Nurse Practitioner 9234410663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reiter and Hill PLLCGroup PAC ID 0345237210, 17 clinicians
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

1133 21St St NW
Suite 200
Washington, DC 20036-3324
Phone (202) 331-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171761VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 16, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 16, 2017 Accepting new patients
Reiter and Hill PLLC CurrentSince Sep 7, 2023 Accepting new patients
Maryland Physicians Edge LLC Women'S Health Past Accepting new patients
Gerald Family Care Past Accepting new patients

Locations

1133 21st St NW
Ste 200
Washington, DC 20036
Phone (202) 331-1740

5530 Wisconsin Ave
Ste 604
Chevy Chase, MD 20815
Phone (301) 654-5700

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

407 N Washington St
Ste 105
Falls Church, VA 22046
Phone (703) 533-9211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
  • Direct secure messaging: tiffany.leray.1@21608.direct.athenahealth.com

Organizations & group practices 5

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1730588633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "#204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-626-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "#204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-982-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERAY",
        "first_name": "TIFFANY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024171761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.