Individual provider Active NPI

Michelle Leitheiser

  • Family Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1760071724
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015202 Issued in NC
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

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
232757NCMDFamily Nurse Practitioner
5015202NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Purcell Clinic, PA PastSince Oct 24, 2021 Accepting new patients
Sandhills Pediatrics Past Accepting new patients
Purcell Clinic, PA PastSince Oct 24, 2021 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.

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

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.

Verify at the official NPI Registry.