Janet R. Leathem, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Boca Raton, FL
NPI 1982705018 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1982705018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- ARNP 9313958 (FL)
- Practice address
- 5749 Camino del Sol
Suite 206
Boca Raton, FL 33433-6564 - Phone
- (954) 800-0234
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9313958 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP 9313958 | FL | Yes |
Addresses
Primary practice location
5749 Camino del Sol
Suite 206
Boca Raton, FL 33433-6564
Mailing address
5749 Camino del Sol
Suite 206
Boca Raton, FL 33433-6564
Phone (954) 800-0234
Other providers in Boca Raton, FL
- Tia C Lea
- Leaf Integrative Acupuncture
- Leafline Acupuncture & Herbs
- Mark Leager
- Marisa Leal
- Leavitt Medical Associates of Florida Inc
- Leavitt Medical Associates of Florida Inc
- Leavitt Medical Associates of Florida Inc
- Leavitt Medical Associates of Florida Inc
- Sandra M Leber
All providers in Boca Raton, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.