Delia Leannan, L.AC., R.N.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13854 Issued in CA

Practice address

1310 Redwood Way Ste 220
Petaluma, CA 94954-6514

Phone

(415) 892-8272

Fax

(415) 892-8272

NPI assigned

Apr 7, 2011

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1851681126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 GRANT AVE",
            "address_2": "STE. 4",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457007",
            "telephone_number": "415-892-8272",
            "fax_number": "415-892-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 REDWOOD WAY STE 220",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546514",
            "telephone_number": "415-892-8272",
            "fax_number": "415-892-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANNAN",
        "first_name": "DELIA",
        "credential": "L.AC., R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "709476",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.