Active NPI
Yvonne Leippert, NP
- Adult Health Nurse Practitioner
- Islandia, NY
National Provider Identifier
1780843409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 455730
- Practice address
- 3001 Expressway Drive North
University Physicians Suite 200B
Islandia, NY 11749 - Phone
- (631) 444-9614
- Fax
- (631) 444-9621
- NPI assigned
- Jun 6, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 455730 | NY | Primary |
Addresses
Primary practice location
3001 Expressway Drive North
University Physicians Suite 200B
Islandia, NY 11749
Mailing address
3001 Expressway Drive North
University Physicians Suite 200B
Islandia, NY 11749
Phone (631) 444-9614
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 455730 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1780843409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EXPRESSWAY DRIVE NORTH",
"address_2": "UNIVERSITY PHYSICIANS SUITE 200B",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "11749",
"telephone_number": "631-444-9614",
"fax_number": "631-444-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EXPRESSWAY DRIVE NORTH",
"address_2": "UNIVERSITY PHYSICIANS SUITE 200B",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "11749",
"telephone_number": "631-444-9614",
"fax_number": "631-444-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIPPERT",
"first_name": "YVONNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "455730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.