Individual provider Active NPI

Leighanne Wolfer, ARNP

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1760079651
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010811 Issued in FL
Practice address
1004 W 1St St
Bloomington, IN 47403-2208
Phone
(812) 362-5149
NPI assigned
Dec 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010811 FL Primary

Addresses

Primary practice location

1004 W 1St St
Bloomington, IN 47403-2208

Mailing address

520 S Walnut St Unit 2206
Bloomington, IN 47402-4704
Phone (561) 572-6675

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

LicenseStateTypeSpecialty
11010811FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: leighanne.wolfer.1@23284.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1760079651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S WALNUT ST UNIT 2206",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474024704",
            "telephone_number": "561-572-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032208",
            "telephone_number": "812-362-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "LEIGHANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-25",
        "last_updated": "2022-06-27",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.