Kathryn Lesiewicz, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5004080 Issued in NC

Practice address

120 Health Center Dr
Ahoskie, NC 27910-8161

Phone

(252) 209-0237

Fax

(252) 209-0197

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Roanoke Chowan Community Health Center IncGroup PAC ID 7214983386, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24985/brand/3/csg/1/fhir/r4
• Direct secure messaging: klesiewicz265903@direct.ochin.org

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.

• Roanoke Chowan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Colerain, NC
  • NPI 1790851004
  Medicare reassignment Care Compare group NPD
• Living the Breamedical - Salisbury, PLLC

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1275291361
  Medicare reassignment NPD
• Roanoke Chowan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ahoskie, NC
  • NPI 1407881691
  NPD
• Bream Medical

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1922869056
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1831182724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100669",
            "telephone_number": "252-209-0237",
            "fax_number": "252-209-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "252-209-0237",
            "fax_number": "252-209-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 MAIN ST",
            "address_purpose": "LOCATION",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389424",
            "country_code": "US",
            "telephone_number": "252-302-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESIEWICZ",
        "first_name": "KATHRYN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R50265",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20184263",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everett W Larabee, D.C.
• Margaret Anne Laskin, FNP
• Diana Le
• Katrina Lee-Williams
• Frieda Lutanya Lee, M.ED,LCAS-P
• Michelle W Lewis, LCSW
• Dontray Lewter
• Liberty Healthcare Group LLC
• David M Lingle, MD
• Livingword(LW)Outreachministries.Com

• Nurse Practitioner in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.