Active NPI
Leighanne Wolfer, ARNP
- Family Nurse Practitioner
- Bloomington, IN
National Provider Identifier
1760079651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11010811 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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.