Active NPI
Geraldine Harvey-Leonard
- Adult Health Nurse Practitioner
- West Chester, OH
National Provider Identifier
1780713487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 08788
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08788 | Other | OH | NP 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20474 | CA | MD | Professional Counselor |
| 08788 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Wound Healing Medical Group Inc. | Current | Accepting new patients | |
| New Hope Podiatry Group Inc. | Past | 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.
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1235333972
-
- Foot & Ankle Surgery Podiatrist
- Alhambra, CA
- NPI 1447670955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.