Leah Olivia Ginn

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN11034956 Issued in FL

Practice address

561 NW Lake Whitney PL Ste 104
Port St Lucie, FL 34986-1624

Phone

(772) 607-0079

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1922825983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NW FLAGLER AVE APT 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941163",
            "telephone_number": "772-607-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 NW LAKE WHITNEY PL STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861624",
            "telephone_number": "772-607-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINN",
        "first_name": "LEAH",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Gibson, O.D.
• Gift of Freedom Recovery Center (Gift of Freedom Wellness Center)
• Francine Gilbert, ARNP
• Jasmine Giles, BT
• Gina Rana, MD, PA
• Samantha Ginocchio, MSW, LCSW
• Donna-Lee Gioia, LMT
• Natalia Giraldo
• Paula Andrea Giraldo, DDS
• Pierre Girard, MD

• Adult Health Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.

Verify at the official NPI Registry.