Active NPI
Denise J Leonardi, NP
- Women's Health Nurse Practitioner
- Peoria, IL
National Provider Identifier
1861594749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209-003694
- Practice address
- 2321 N Wisconsin Ave
Peoria, IL 61603 - Phone
- (309) 680-7600
- Fax
- (309) 687-8620
- NPI assigned
- Sep 2, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209-003694 | IL | Primary |
Addresses
Primary practice location
2321 N Wisconsin Ave
Peoria, IL 61603
Mailing address
2214 N University
Peoria, IL 61604
Phone (309) 680-7600
Other names 1
- Denise J Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-003694 | IL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1861594749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 N UNIVERSITY",
"city": "PEORIA",
"state": "IL",
"postal_code": "61604",
"telephone_number": "309-680-7600",
"fax_number": "309-681-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 N WISCONSIN AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61603",
"telephone_number": "309-680-7600",
"fax_number": "309-687-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARDI",
"first_name": "DENISE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209-003694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "LEWIS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.