Active NPI
Leah D Umnitz, FNP
- Family Nurse Practitioner
- Bend, OR
National Provider Identifier
1811314115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201400588NP-PP
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269687 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP134021 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Nurse Practitioner
- La Pine, OR
- NPI 1548794092
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.