Individual provider Active NPI

Leah D Umnitz, FNP

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1811314115
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201400588NP-PP Issued in OR
Practice address
1835 NW Pence LN
Bend, OR 97703-1579
Phone
(541) 907-1742
Fax
(541) 306-4366
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 AP134021 TX
Family Nurse Practitioner 363LF0000X 201400588NP-PP OR Primary

Addresses

Primary practice location

1835 NW Pence LN
Bend, OR 97703-1579

Mailing address

4505 McGregor LN
Dripping Springs, TX 78620-3526
Phone (541) 907-1742

Other practice location 1

2564 NE Courtney Dr.
Bend, OR 97701-7638
Phone (541) 678-5277

Other identifiers 1

IdentifierTypeStateIssuer
269687MedicaidOR

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134021TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paulina Peaks Family Healthcare Family Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1811314115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 MCGREGOR LN",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203526",
            "telephone_number": "541-907-1742",
            "fax_number": "541-306-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NW PENCE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031579",
            "telephone_number": "541-907-1742",
            "fax_number": "541-306-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 NE Courtney Dr.",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017638",
            "country_code": "US",
            "telephone_number": "541-678-5277",
            "fax_number": "541-678-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMNITZ",
        "first_name": "LEAH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201400588NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269687",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.