Active NPI
Leighanne Way
- Genetic Counselor (M.S.)
- St Petersburg, FL
National Provider Identifier
1801480686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC64
- Practice address
- 111 2ND Ave NE Ste 700
St Petersburg, FL 33701-3441 - Phone
- (800) 975-4819
- NPI assigned
- Feb 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 247.000143 | IL | |
| Genetic Counselor (M.S.) | 170300000X | GC64 | FL | Primary |
Addresses
Primary practice location
111 2ND Ave NE Ste 700
St Petersburg, FL 33701-3441
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GC64 | FL | MD | Genetic Counselor (M.S.) |
| 247.000143 | IL | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Informed Medical Decisions, Inc. | Genetic Counselor, Ms | Current | Accepting new patients |
| Informeddna Medical Group, P.a. | Genetic Counselor, Ms | Current | Accepting new patients |
Locations
111 2nd Ave NE
Ste 700
St Petersburg, FL 33701
Phone (760) 778-4434
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.
-
- Genetic Counselor (M.S.)
- St Petersburg, FL
- NPI 1568633121
Genetic Counselor, Ms
-
- Genetic Counselor (M.S.)
- St. Petersburg, FL
- NPI 1942842042
Genetic Counselor, Ms
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1801480686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 2ND AVE NE STE 700",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013441",
"telephone_number": "800-975-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAY",
"first_name": "LEIGHANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "IL",
"license": "247.000143",
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "FL",
"license": "GC64",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.