Individual provider Active NPI

Leslie Fehan, C.N.M.

  • Advanced Practice Midwife
  • Midlothian, VA
National Provider Identifier
1871522755
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024097930 Issued in VA
Practice address
13700 St Francis Blvd
Suite 606
Midlothian, VA 23114-3222
Phone
(804) 423-8462
Fax
(804) 423-8463
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024097930 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite 606
Midlothian, VA 23114-3222

Mailing address

13700 St Francis Blvd
Suite 606
Midlothian, VA 23114-3222
Phone (804) 423-8462

Other identifiers 4

IdentifierTypeStateIssuer
418654OtherVASOUTHERN HEALTH SERVICES
1216508OtherVAAETNA HMO
010261821MedicaidVA
7944408OtherVAAETNA LIFE

Other names 1

  • Leslie Ann Giberson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000216 VA Practitioner - Certified Nurse Midwife (CNM) 7012971971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024097930VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Feb 12, 2013 Accepting new patients

Locations

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

401 N 12th St
Richmond, VA 23298
Phone (804) 628-6975

9105 Stony Point Dr
Fl 2
Richmond, VA 23235
Phone (804) 828-4409

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1871522755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 606",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-423-8462",
            "fax_number": "804-423-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 606",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-423-8462",
            "fax_number": "804-423-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHAN",
        "first_name": "LESLIE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024097930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "418654",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1216508",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010261821",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE",
            "identifier": "7944408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GIBERSON",
            "middle_name": "ANN",
            "credential": "C.N.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.