Active NPI
Jessica Hoffner Leventhal, APRN
- Family Nurse Practitioner
- New Haven, CT
National Provider Identifier
1831558097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 006955
- Practice address
- 2 Church St S Ste 401
New Haven, CT 06519-1717 - Phone
- (475) 331-8966
- NPI assigned
- Feb 16, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129997 | CT | |
| Registered Nurse | 163W00000X | 700723 | NY | |
| Family Nurse Practitioner | 363LF0000X | 006955 | CT | Primary |
Addresses
Primary practice location
2 Church St S Ste 401
New Haven, CT 06519-1717
Mailing address
360 State St
New Haven, CT 06510-3601
Other practice location 1
360 State St
New Haven, CT 06510-3601
Phone (845) 527-4979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129997 | CT | MD | Registered Nurse |
| 700723 | NY | MD | Registered Nurse |
| 006955 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831558097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 STATE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST S STE 401",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "475-331-8966"
}
],
"practiceLocations": [
{
"address_1": "360 State St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103601",
"country_code": "US",
"telephone_number": "845-527-4979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "JESSICA",
"middle_name": "HOFFNER",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "129997",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "700723",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "006955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.