Active NPI
Michelle Leitheiser
- Family Nurse Practitioner
- Laurinburg, NC
National Provider Identifier
1760071724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015202
- Practice address
- 418 S King St
Laurinburg, NC 28352-3704 - Phone
- (910) 690-4149
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 232757 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5015202 | NC | Primary |
Addresses
Primary practice location
418 S King St
Laurinburg, NC 28352-3704
Mailing address
418 S King St
Laurinburg, NC 28352-3704
Phone (910) 276-7570
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232757 | NC | MD | Family Nurse Practitioner |
| 5015202 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Purcell Clinic, PA | Past | Accepting new patients | |
| Sandhills Pediatrics | Past | Accepting new patients | |
| Purcell Clinic, PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Laurinburg, NC
- NPI 1912995630
-
dba Winston-Salem Pediatrics
- Pediatrics Physician
- Winston Salem, NC
- NPI 1043172471
-
- Pediatrics Physician
- Laurinburg, NC
- NPI 1528994654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1760071724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 S KING ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523704",
"telephone_number": "910-276-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 S KING ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523704",
"telephone_number": "910-690-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITHEISER",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "NC",
"license": "232757",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurinburg, NC
- Leap of Faith Home Care Agency LLC
- Esther Joo Lee, MD
- Ge Lee
- Rachel Marie Lee, PA
- Whitney D Lee, LCSWA
- Leon M McLean and Steven a McLean Inc (Medicine Shoppe)
- Leon M McLean and Steven a McLean Inc (The Medicine Shoppe)
- Lauren Lepage, LPN
- Andrew Douglas Leporte, DO
- Lets Breathe Counseling and Educational Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.