Active NPI
Elizabeth Leavell
- Licensed Practical Nurse
- Portland, OR
National Provider Identifier
1740530989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 089005220LPN
- Practice address
- 4531 SE Belmont St
Ste 100
Portland, OR 97215-1675 - Phone
- (503) 215-6556
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 089005220LPN | OR | Primary |
| Health Maintenance Organization | 302R00000X | 089005220LPN | OR |
Addresses
Primary practice location
4531 SE Belmont St
Ste 100
Portland, OR 97215-1675
Mailing address
4531 SE Belmont St
Ste 100
Portland, OR 97215-1675
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089005220LPN | OR | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1740530989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST",
"address_2": "STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST",
"address_2": "STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675",
"telephone_number": "503-215-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVELL",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "089005220LPN",
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "OR",
"license": "089005220LPN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.