Active NPI
Jennifer R Leanhart, ARNP
- Adult Health Nurse Practitioner
- Jeffersonville, IN
National Provider Identifier
1790772754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3004318
- Practice address
- 101 Hospital Blvd
Jeffersonville, IN 47130-3769 - Phone
- (812) 282-3899
- Fax
- (812) 282-4172
- NPI assigned
- Oct 4, 2005
- 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 | 3004318 | KY | Primary |
Addresses
Primary practice location
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00150919 | Other | KY | RR MCR |
| 200484190 | Medicaid | IN | |
| 78012291 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- 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 |
|---|---|---|---|
| 3004318 | KY | MD | Adult Health Nurse Practitioner |
Organizations & group practices 1
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.
-
- Urology Physician
- Jeffersonville, IN
- NPI 1922099811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1790772754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEANHART",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3004318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00150919",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200484190",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012291",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.