Active NPI
Karen Ellen Thomisee Leasure, PNP
- Pediatric Nurse Practitioner
- Conover, NC
National Provider Identifier
1982840286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5004892
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5004892 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Nebo, NC
- NPI 1467763797
-
- Pediatrics Physician
- Conover, NC
- NPI 1770782450
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.