Individual provider Active NPI

Windham Jennette Leaming, CFTS

  • Specialist
  • New Bern, NC
National Provider Identifier
1992078034
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CFTS1379 Issued in DE
Practice address
301 N Glenburnie Rd
New Bern, NC 28560-2706
Phone
(252) 633-2244
Fax
(252) 633-4156
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CFTS1379 NC
Specialist 174400000X CFO04052 NC
Specialist 174400000X CFTS1379 DE Primary

Addresses

Primary practice location

301 N Glenburnie Rd
New Bern, NC 28560-2706

Mailing address

PO Box 12734
New Bern, NC 28561-2734
Phone (252) 633-2244

Other identifiers 1

IdentifierTypeStateIssuer
7795533MedicaidNC

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
CFTS1379DEMDSpecialist
CFO04052NCMDSpecialist
CFTS1379NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Diabetic Supply Group, Inc. CurrentSince Sep 12, 2021 Accepting new patients

Locations

301 N Glenburnie Rd
New Bern, NC 28560
Phone (252) 633-2244

3336 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2244

Organizations & group practices 1

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1992078034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12734",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612734",
            "telephone_number": "252-633-2244",
            "fax_number": "252-633-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602706",
            "telephone_number": "252-633-2244",
            "fax_number": "252-633-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAMING",
        "first_name": "WINDHAM",
        "middle_name": "JENNETTE",
        "credential": "CFTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "CFTS1379",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "CFO04052",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "CFTS1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795533",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.