Active NPI
Leila Denise Moser, APRN
- Adult Health Nurse Practitioner
- Akron, OH
National Provider Identifier
1871592980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP06645
- Practice address
- 55 Arch St
Akron, OH 44304-1423 - Phone
- (330) 375-3315
- NPI assigned
- Jul 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.06645 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | NP06645 | OH | Primary |
Addresses
Primary practice location
55 Arch St
Akron, OH 44304-1423
Mailing address
55 Arch St
Akron, OH 44304-1436
Phone (330) 375-3315
Other practice location 1
3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Phone (513) 834-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2301753 | Medicaid | OH |
Other names 1
- Miss Leila Denise Boville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1871592980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ARCH ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041436",
"telephone_number": "330-375-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 ARCH ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041423",
"telephone_number": "330-375-3315"
}
],
"practiceLocations": [
{
"address_1": "3545 Lincoln Way E Ste B",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446468624",
"country_code": "US",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSER",
"first_name": "LEILA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.06645",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP06645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2301753",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEILA",
"last_name": "BOVILLE",
"middle_name": "DENISE",
"prefix": "MISS",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.