Individual provider Active NPI

Karen Ellen Thomisee Leasure, PNP

  • Pediatric Nurse Practitioner
  • Conover, NC
National Provider Identifier
1982840286
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5004892 Issued in NC
Practice address
3411 Graystone PL SE
Conover, NC 28613-8200
Phone
(828) 328-1118
Fax
(828) 328-1119
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5004892 NC Primary

Addresses

Primary practice location

3411 Graystone PL SE
Conover, NC 28613-8200

Mailing address

PO Box 1347
Hickory, NC 28603-1347
Phone (828) 328-1118

Other names 1

  • Ms. Karen Ellen Thomisee Former name

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

State licenses

LicenseStateTypeSpecialty
5004892NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unifour Pediatrics, PA Past Accepting new patients
Southmountain Children and Family Services Past Accepting new patients

Organizations & group practices 2

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1982840286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031347",
            "telephone_number": "828-328-1118",
            "fax_number": "828-328-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 GRAYSTONE PL SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138200",
            "telephone_number": "828-328-1118",
            "fax_number": "828-328-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMISEE LEASURE",
        "first_name": "KAREN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5004892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "THOMISEE",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.