Individual provider Active NPI

Leah Fay Thieman

  • Pediatric Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1861215675
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
117156 Issued in WV
Practice address
30 Medical Park
Wheeling, WV 26003-6391
Phone
(304) 243-3000
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 117156 WV Primary

Addresses

Primary practice location

30 Medical Park
Wheeling, WV 26003-6391

Mailing address

260 Browns Run Rd
Wheeling, WV 26003-9464
Phone (304) 280-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250311001187 WV Practitioner - Nurse Practitioner 9032630728 Reassigns benefits to 1 organization
I20250319001995 OH Practitioner - Nurse Practitioner 9032630728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
117156WVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

222 N 5th St
Martins Ferry, OH 43935
Phone (740) 633-6388

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

30 Medical Park
Ste 221
Wheeling, WV 26003
Phone (304) 242-0588

58 16th St
Ste 403
Wheeling, WV 26003
Phone (304) 234-1935

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1861215675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BROWNS RUN RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039464",
            "telephone_number": "304-280-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-243-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEMAN",
        "first_name": "LEAH",
        "middle_name": "FAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "117156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.