Leah Michelle Anderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

875832 Issued in NV

Practice address

366 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7287

Phone

(702) 359-5210

Fax

(702) 997-0475

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1073341079
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134847965
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1366284143
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1396190716
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1407517436
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1700468204
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1730811019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 W LAKE MEAD PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157287",
            "telephone_number": "702-359-5210",
            "fax_number": "702-997-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "875832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Leta Anderson, CCMA
• Clinton M Anderson, MT, PA-C
• Jacqueline Anderson
• Jaime Anderson
• Jared Ross Anderson, PA-C
• Leshauna Jeannine Anderson
• Matthew Cyle Anderson, MS,OTR/L
• Melissa Sue Anderson, P.T.
• Michael J Anderson, MD
• Mykel Anderson, DMD, MPH, MBA

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.