HAYLEY M LEICHTMAN (NPI# 1184153223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184153223 |
Entity Type | Individual |
Full Name | HAYLEY M LEICHTMAN |
Credential | FNP-BC |
Practice Address |
4050 W Maple Rd Ste 101 Bloomfield Hills MI 48301-3118 |
Mailing Address |
2788 Tallahassee Dr Rochester Hills MI 48306-3860 |
Practice Telephone | 2488858211 |
Enumeration Date | 2017-06-11 |
Last Update Date | 2017-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704266588 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS (LARA) | 4704266588 | 01 |
Street Address |
4050 W MAPLE RD STE 101 |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48301-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518570563 | Jennah Viau | Nurse Practitioner | 4050 W Maple Rd Ste 101, Bloomfield Hills, MI 48301-3118 | 2020-08-28 |
1558920934 | Brittany Nichole Powell | Nurse Practitioner | 4050 W Maple Rd Ste 101, Bloomfield Hills, MI 48301-3118 | 2019-06-10 |
1104381847 | Shelby Brewington | Physician Assistant | 4050 W Maple Rd Ste 101, Bloomfield Hills, MI 48301-3118 | 2019-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
Find all providers in zip 48301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780295279 | Erica Elyse Knowles | Nurse Practitioner | 10 W Square Lake Rd Ste 301, Bloomfield Hills, MI 48302-0468 | 2020-08-10 |
1811536733 | Marije Markaj | Nurse Practitioner | 163 Linda Ln, Bloomfield Hills, MI 48304-2819 | 2019-12-23 |
1124504873 | Heather Jane Thomson | Nurse Practitioner | 3646 Pheasant Run, Bloomfield Hills, MI 48302-1245 | 2018-07-16 |
1063909356 | Angela Chaplow | Nurse Practitioner | 2525 S Telegraph Rd Ste 200, Bloomfield Hills, MI 48302-0288 | 2018-04-23 |
1154718856 | Anna Owczarski | Nurse Practitioner | 6320 Lahser Rd, Bloomfield Hills, MI 48301-2026 | 2015-04-20 |
1417206285 | Andrea Rau | Nurse Practitioner | 2274 S Telegraph Rd, Bloomfield Hills, MI 48302-0252 | 2012-09-07 |
1053927095 | Angelic Zaitouna | Nurse Practitioner | 4050 W Maple Rd, Bloomfield Hills, MI 48301-3148 | 2020-09-16 |
1518570563 | Jennah Viau | Nurse Practitioner | 4050 W Maple Rd Ste 101, Bloomfield Hills, MI 48301-3118 | 2020-08-28 |
1013535087 | Tiffany Monique Thompson | Nurse Practitioner | 43494 Woodward Ave, Bloomfield Hills, MI 48302-5052 | 2020-07-07 |
1184245284 | Premier Health Choice Group PC | Nurse Practitioner | 4212 Ramsgate Ln, Bloomfield Hills, MI 48302-1635 | 2020-04-29 |
Find all providers in BLOOMFIELD HILLS |
City | BLOOMFIELD HILLS |
Zip Code | 48301 |
Please comment or provide details below to improve the information on HAYLEY M LEICHTMAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.