Elisa Leuenberger

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1401 S Seward Meridian Pkwy
Wasilla, AK 99654-8312

Phone

(907) 631-3520

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Flex Home Therapy Services, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1477116580
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1992353874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S SEWARD MERIDIAN PKWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548312",
            "telephone_number": "907-631-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S SEWARD MERIDIAN PKWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548312",
            "telephone_number": "907-631-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENBERGER",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697550",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "1401 S Seward Meridian Pkwy",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996548312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Lemert, CRNP
• Ellen Lentz, ANP
• Mattison Arlene Leonard
• Jeffrey August Lepage, P.T., C.W.S.
• Amanda Lestenkof
• Natalia Levchenko
• Brenna Joanne Lewis
• Elisabeth Lewis
• Erik Lewis, RN
• Harry E Lewis

• All providers in Wasilla, AK
• Day Training/Habilitation Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.