Leanne H Deneal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

28 Veteran's Drive
Harrisburg, IL 62946

Phone

(618) 993-0404

Fax

(618) 993-1717

NPI assigned

Dec 11, 2006

Last updated

May 23, 2019By 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 2

Addresses

Other names 1

• Ms. Leanne F Hopkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11869/brand/1/csg/1/fhir/r4
• Direct secure messaging: leanne.deneal.1@11869.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Group LLC

  • Pediatrics Physician
  • Carbondale, IL
  • NPI 1023582038
  NPD (past)
• Pediatric Group LLC

  • Rural Health Clinic/Center
  • Marion, IL
  • NPI 1114129970
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1932269701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 OFFICE PARK DRIVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-0404",
            "fax_number": "618-993-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VETERAN'S DRIVE",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "62946",
            "telephone_number": "618-993-0404",
            "fax_number": "618-993-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEAL",
        "first_name": "LEANNE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085000461",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "HOPKINS",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deaconess Illinois Clinic, Inc (Deaconess IL Clinic 303 Commercial St)
• Deaconess Illinois Clinic, Inc (Deaconess Illinois Clinic)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty 303 Commercial St)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Express 716 Commercial St)
• Deaconess Regional Healthcare Services Illinois Inc (Deaconess Regional Transport and Logistics LLC)
• D. Tyler Dennison, D.C,
• Moises B. Domingo
• Dr. Michael J. Gearing D.D.S. Inc
• Egyptian Health Department
• Egyptian Health Department

• Physician Assistant in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.