Active NPI
Leanne Parker Gundy, NP
- Women's Health Nurse Practitioner
- Sierra Vista, AZ
National Provider Identifier
1932109261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN195909
- Practice address
- 599 E Wilcox Dr
Sierra Vista, AZ 85635-2531 - Phone
- (520) 459-4604
- Fax
- (520) 459-4603
- NPI assigned
- Jul 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN195909 | AZ | Primary |
Addresses
Primary practice location
599 E Wilcox Dr
Sierra Vista, AZ 85635-2531
Mailing address
599 E Wilcox Dr
Sierra Vista, AZ 85635-2531
Phone (520) 459-4604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z185028 | Other | AZ | MEDICARE ID |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN195909 | AZ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Ogden Clinic PC | Current | Accepting new patients | |
| Rocky Mountain Women'S Health Center, Inc. | Past | Accepting new patients |
Locations
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4403 Harrison Blvd
Ste 4650
Ogden, UT 84403
Phone (801) 387-4400
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
-
- Obstetrics & Gynecology Physician
- Layton, UT
- NPI 1447387519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1932109261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352531",
"telephone_number": "520-459-4604",
"fax_number": "520-459-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352531",
"telephone_number": "520-459-4604",
"fax_number": "520-459-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDY",
"first_name": "LEANNE",
"middle_name": "PARKER",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "RN195909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "Z185028",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.