Active NPI
Lenore Ruth Posedly, CNP
- Adult Health Nurse Practitioner
- Chantilly, VA
National Provider Identifier
1922194414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP02818
- Practice address
- 14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647 - Phone
- (571) 512-7287
- Fax
- (800) 752-2471
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | COA110972 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | NP02818 | OH | Primary |
Addresses
Primary practice location
14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647
Mailing address
1180 W Garfield Rd
Aurora, OH 44202-7519
Phone (330) 541-6779
Other names 1
- Miss Lenore Rutrh Mantifel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA110972 | OH | MD | Ambulatory Surgical Clinic/Center |
| NP02818 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Medical Services LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Beachwood, OH
- NPI 1669486205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1922194414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 W GARFIELD RD",
"city": "AURORA",
"state": "OH",
"postal_code": "442027519",
"telephone_number": "330-541-6779",
"fax_number": "330-562-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14121 PARKE LONG CT",
"address_2": "SUITE 201",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511647",
"telephone_number": "571-512-7287",
"fax_number": "800-752-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSEDLY",
"first_name": "LENORE",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "COA110972",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP02818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENORE",
"last_name": "MANTIFEL",
"middle_name": "RUTRH",
"prefix": "MISS",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.