Eden Beth Leyanna, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

538434 Issued in CA

Practice address

22517 Breakwater Way
Santa Clarita, CA 91350-5724

Phone

(320) 259-1191

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1780035857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22517 BREAKWATER WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505724",
            "telephone_number": "320-259-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22517 BREAKWATER WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505724",
            "telephone_number": "320-259-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYANNA",
        "first_name": "EDEN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "538434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Gene Suson Lewis
• Chyenne L Lewis
• Elizabeth Lewis
• Joshua Colin Lewis
• Pamela Sue Lewis
• Christina Li, PHARMD
• Lifehouse Recovery, Inc.
• Jason Liles
• Trina Limbo
• Justin Joe Lin

• Family Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.