Active NPI
David Leafstedt, CRNA
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 180367
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 609-6440
- Fax
- (910) 609-5365
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 180367 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 609-6440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051560 | Medicaid | NC | |
| D3596 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-6910
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180367 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Anesthesiology | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
- NPI 1790784999
Anesthesiology
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1891795795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-609-6440",
"fax_number": "910-609-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-609-6440",
"fax_number": "910-609-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAFSTEDT",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "180367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051560",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D3596",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.