Leah Varden Gann, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-121708 Issued in AL

Practice address

1900 Main Ave SW
Cullman, AL 35055

Phone

(256) 734-9764

Fax

(256) 734-9764

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Abc Pediatrics West LLC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1316714512

  AL

  Medicare reassignment NPD Authorized official
• Rural Primary Care South, Inc.

  • Rural Health Clinic/Center
  • Warrior, AL
  • NPI 1508277310

  AL

  Medicare reassignment NPD
• Smith Lake Family Care LLC

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1306447776

  AL, Family

  Medicare reassignment NPD
• Urgent Care South, Inc.

  • Internal Medicine Physician
  • Warrior, AL
  • NPI 1184999773

  AL

  Medicare reassignment NPD
• Smith Lake Urgent Care, LLC

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1447499090
  NPD (past)
• Urgent Care South, Inc

  • Urgent Care Clinic/Center
  • Warrior, AL
  • NPI 1487920773
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1780930826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "205-296-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-734-9764",
            "fax_number": "256-734-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "LEAH",
        "middle_name": "VARDEN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuller Optical
• Fuller Optical, LLC
• Steven B Fuller, D.O.
• Wayne B Fuller, O.D.
• Jamie Gandy
• Denise Elaine Gardner, CRNP
• Chris Garnett
• Jennifer Lashay Garrison
• Lois Gatlin
• Genetassistant

• All providers in Cullman, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.

Verify at the official NPI Registry.