Leatherman Healthcare, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LEATHERMAN HEALTHCARE, LLC

Practice address

118 E Oak Ridge Dr Ste 2000
Hagerstown, MD 21740-7890

Phone

(301) 678-1839

Fax

(301) 679-1740

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gwenn Leatherman, DNP-BCNPI 1164875654

Title

Ceo

Phone

(301) 418-5828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leatherman Healthcare, LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwenn Leatherman

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1164875654
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Ann Quin, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1003693193
  Medicare reassignment Care Compare group NPD
• Jennifer Adler, CRNP

  • Family Nurse Practitioner
  • Waynesboro, PA
  • NPI 1083181499

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1972250009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 2000",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407890",
            "telephone_number": "301-678-1839",
            "fax_number": "301-679-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 2000",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407890",
            "telephone_number": "301-678-1839",
            "fax_number": "301-679-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEATHERMAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LEATHERMAN",
        "authorized_official_first_name": "GWENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-418-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "1164875643",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "endpointDescription": "kareo",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "desktop",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kareo",
            "address_1": "18227 College Rd",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217401716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Leatherman Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Leatherman Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kimberly Christine Lawson, FNP-C
• Morgan Lawson, LCSW-C
• Yasemin Ann Lawson
• LBH Community Care LLC
• Wayne Bruce Leadbetter, M.D.
• Gwenn Leatherman
• Jared Michael Leatherman, R.N.
• Zachari Douglas Leazier, NP
• Simon Lee-Feuillet, PTA
• Christine H Lee, DMD

• Primary Care Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.