Active NPI
Laura Isenhour Leverone, M.D.
- Pediatrics Physician
- Suffolk, VA
National Provider Identifier
1942237805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 101053635
- Practice address
- 1009 Hillpoint Blvd N
Suffolk, VA 23434-8470 - Phone
- (757) 668-2250
- Fax
- (757) 668-2255
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 101053635 | VA | Primary |
Addresses
Primary practice location
1009 Hillpoint Blvd N
Suffolk, VA 23434-8470
Mailing address
1009 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 668-2250
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541778786 | Other | VA | UNITED HEALTH CARE |
| 878410 | Other | VA | MAMSI/MDIPA |
| 541778786 | Other | VA | VIRGINIA HEALTH NETWORK |
| 00676037 | Medicaid | VA | |
| 228113 | Other | VA | ANTHEM |
| 54556 | Other | VA | OPTIMA |
| 5018473 | Other | VA | AETNA |
| 790558T | Medicaid | NC | |
| 541778786023 | Other | VA | TRICARE |
| 541778786663 | Other | VA | CIGNA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101053635 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Pediatrics | 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.
-
- Pediatrics Physician
- Suffolk, VA
- NPI 1790830487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1942237805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348470",
"telephone_number": "757-668-2250",
"fax_number": "757-668-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348470",
"telephone_number": "757-668-2250",
"fax_number": "757-668-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVERONE",
"first_name": "LAURA",
"middle_name": "ISENHOUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "101053635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "541778786",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MDIPA",
"identifier": "878410",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "541778786",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00676037",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "228113",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "54556",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5018473",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790558T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541778786023",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "541778786663",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.