Individual provider Active NPI

Linda M Leiser, FNP-C

  • Family Nurse Practitioner
  • Colville, WA
National Provider Identifier
1801362140
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216502 Issued in GA
Practice address
250 S Main St
Colville, WA 99114-2408
Phone
(509) 684-7924
NPI assigned
Oct 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61155025 WA
Family Nurse Practitioner 363LF0000X RN216502 GA Primary

Addresses

Primary practice location

250 S Main St
Colville, WA 99114-2408

Mailing address

250 S Main St
Colville, WA 99114-2408
Phone (404) 834-4397

Other practice location 1

1066 Plantation Blvd SE
Conyers, GA 30094-4120
Phone (404) 834-4397

Other identifiers 2

IdentifierTypeStateIssuer
AP61155025OtherWAARNP
RN216502OtherGABOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, OH, CA, SC, NY, TX7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20191021003069 GA Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization
I20220725002912 WA Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization
I20230424001273 OH Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization
I20240725000014 CA Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 2 organizations
I20250422002711 SC Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization
I20250502000637 NY Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization
I20250721001294 TX Practitioner - Nurse Practitioner 9234461468 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN216502GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Universal Care CurrentSince Nov 1, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Jul 3, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 17, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 8, 2019 Accepting new patients
Molina Healthcare of New York, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Aug 22, 2022 Accepting new patients
Peachtree Immediate Care UC, LLC PastSince Aug 8, 2019 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

13093 Brown Bridge Rd
Covington, GA 30016
Phone (678) 800-1591

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2900 Exterior St
Ste 202
Bronx, NY 10463
Phone (607) 238-5357

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: lleiser13539@direct-prd.molinahealthcare.com

Organizations & group practices 9

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": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1801362140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142408",
            "telephone_number": "404-834-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142408",
            "telephone_number": "509-684-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1066 Plantation Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300944120",
            "country_code": "US",
            "telephone_number": "404-834-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISER",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-14",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61155025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "AP61155025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "RN216502",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.