Individual provider Active NPI

Hedi Louise Leistner, MD

  • Pediatric Pulmonology Physician
  • Safety Harbor, FL
National Provider Identifier
1831148394
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME138418 Issued in FL
Practice address
108 Timberview Dr
Safety Harbor, FL 34695-4734
Phone
(727) 776-7606
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 120739-1 NY
Pediatric Pulmonology Physician 2080P0214X MD2015-0199 NM
Pediatric Pulmonology Physician 2080P0214X 046012 CT
Pediatric Pulmonology Physician 2080P0214X ME138418 FL Primary

Addresses

Primary practice location

108 Timberview Dr
Safety Harbor, FL 34695-4734

Mailing address

108 Timberview Dr
Safety Harbor, FL 34695-4734
Phone (727) 771-7606

Other identifiers 1

IdentifierTypeStateIssuer
1-01033090MedicaidNY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046012CTMDPediatric Pulmonology Physician
ME138418FLMDPediatric Pulmonology Physician
MD2015-0199NMMDPediatric Pulmonology Physician
120739-1NYMDPediatric Pulmonology Physician

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1831148394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TIMBERVIEW DR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954734",
            "telephone_number": "727-771-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TIMBERVIEW DR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954734",
            "telephone_number": "727-776-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTNER",
        "first_name": "HEDI",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "120739-1",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NM",
            "license": "MD2015-0199",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CT",
            "license": "046012",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME138418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-01033090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.