Leann Marie Micheals, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0017000755 Issued in VA

Practice address

1434 Porter Street
Richard Barquist Army Health Clinic
Ft. Detrick, MD 20172

Phone

(301) 619-7175

NPI assigned

Dec 18, 2006

Last updated

Aug 4, 2022By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1942363668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MURDOCH SQ SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753766",
            "telephone_number": "703-777-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PORTER STREET",
            "address_2": "RICHARD BARQUIST ARMY HEALTH CLINIC",
            "city": "FT. DETRICK",
            "state": "MD",
            "postal_code": "20172",
            "telephone_number": "301-619-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEALS",
        "first_name": "LEANN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017000755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSURE",
            "identifier": "0001142909",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSURE",
            "identifier": "0017000755",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dani Liggett, L.P.N.
• Janelle Lucksavage, DPT
• James Wallace Martin, M.D.
• Bill Kirk Mayhew, D.D.S.
• Mitchell Scott Meyers, M.D.
• Joseph Morrissette
• Tawana Motes
• Karen Sellers Myers, LPN CCRC
• Jerome F Pierson, R.PH., PH.D.
• Geraldine Clare Powers, RN

• Family Nurse Practitioner in Fort Detrick, MD
• Providers in Fort Detrick, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.