Active NPI
Leah C Kinney
- Obstetrics & Gynecology Nurse Practitioner
- South Bend, IN
National Provider Identifier
1831496710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 28161643A
- Practice address
- 515 N Lafayette Blvd
South Bend, IN 46601-1003 - Phone
- (574) 232-2037
- Fax
- (574) 232-1420
- NPI assigned
- Feb 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 28161643A | IN | Primary |
Addresses
Primary practice location
515 N Lafayette Blvd
South Bend, IN 46601-1003
Mailing address
130 S Main St
Suite 250
South Bend, IN 46601-1816
Phone (574) 251-2100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Maternal and Child Health Network, Inc | 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.
-
- Ambulatory Family Planning Facility
- South Bend, IN
- NPI 1528151602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1831496710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S MAIN ST",
"address_2": "SUITE 250",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011816",
"telephone_number": "574-251-2100",
"fax_number": "574-251-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N LAFAYETTE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011003",
"telephone_number": "574-232-2037",
"fax_number": "574-232-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "LEAH",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IN",
"license": "28161643A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.