Active NPI
Leah Nanette Nave, D.O.
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02006521A
- Practice address
- 8111 Township Line Rd
Indianapolis, IN 46260 - Phone
- (317) 415-7921
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102204125 | VA | |
| Pediatrics Physician | 208000000X | 02006521A | IN | Primary |
Addresses
Primary practice location
8111 Township Line Rd
Indianapolis, IN 46260
Mailing address
8111 Township Line Rd
Indianapolis, IN 46260-2479
Other practice location 1
1100 Wilford Hall Loop, BLDG 4554
Attn: 59MDH/SGHC
JBSA- Lackland, TX 78236
Phone (210) 292-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006521A | IN | MD | Pediatrics Physician |
| 0102204125 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
Locations
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1992146591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-415-7921"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop, BLDG 4554",
"address_2": "ATTN: 59MDH/SGHC",
"address_purpose": "LOCATION",
"city": "JBSA- Lackland",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-5848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVE",
"first_name": "LEAH",
"middle_name": "NANETTE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102204125",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02006521A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.