Active NPI
Hedi Louise Leistner, MD
- Pediatric Pulmonology Physician
- Safety Harbor, FL
National Provider Identifier
1831148394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME138418
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-01033090 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046012 | CT | MD | Pediatric Pulmonology Physician |
| ME138418 | FL | MD | Pediatric Pulmonology Physician |
| MD2015-0199 | NM | MD | Pediatric Pulmonology Physician |
| 120739-1 | NY | MD | Pediatric 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.