Individual provider Active NPI

Leta Houston Hickey, RN, CNP

  • Neonatal Nurse Practitioner
  • Chagrin Falls, OH
National Provider Identifier
1972690261
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
CTP-02010 Issued in OH
Practice address
40555 Burton TRL
Chagrin Falls, OH 44022-6692
Phone
(440) 423-0437
Fax
(440) 423-0461
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X RN-198048 OH
Neonatal Nurse Practitioner 363LN0000X CTP-02010 OH Primary

Addresses

Primary practice location

40555 Burton TRL
Chagrin Falls, OH 44022-6692

Mailing address

40555 Burton TRL
Chagrin Falls, OH 44022-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602001683 OH Practitioner - Nurse Practitioner 8022339191 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-198048OHMDNeonatal Intensive Care Registered Nurse
CTP-02010OHMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center CurrentSince Jan 1, 2021 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Jan 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 1, 2015 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
#2
Highland Hills, OH 44122
Phone (216) 358-2370

Interoperability endpoints

  • Direct secure messaging: lhickey27896@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972690261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40555 BURTON TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40555 BURTON TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226692",
            "telephone_number": "440-423-0437",
            "fax_number": "440-423-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "LETA",
        "middle_name": "HOUSTON",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "OH",
            "license": "RN-198048",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OH",
            "license": "CTP-02010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.