Individual provider Active NPI

Geraldine Harvey-Leonard

  • Adult Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1780713487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
08788 Issued in OH
Practice address
9050 Centre Pointe Dr
Suite 400
West Chester, OH 45069-4874
Phone
(937) 831-0854
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 08788 OH Primary

Addresses

Primary practice location

9050 Centre Pointe Dr
Suite 400
West Chester, OH 45069-4874

Mailing address

4200 Camargo Dr Apt J
Dayton, OH 45415-3310

Other identifiers 1

IdentifierTypeStateIssuer
08788OtherOHNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000283 CA Practitioner - Nurse Practitioner 4385825306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20474CAMDProfessional Counselor
08788OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
California Wound Healing Medical Group Inc. CurrentSince Oct 1, 2023 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

3612 E 1st St
#1-2
Los Angeles, CA 90063
Phone (323) 262-4146

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780713487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CAMARGO DR APT J",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 CENTRE POINTE DR",
            "address_2": "SUITE 400",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694874",
            "telephone_number": "937-831-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY-LEONARD",
        "first_name": "GERALDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "08788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "08788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.