MRS. MARY RUTH LEYENDECKER (NPI# 1417322397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417322397 |
Entity Type | Individual |
Full Name | MRS. MARY RUTH LEYENDECKER |
Other Name | MISS MARY RUTH FORBIS |
Credential | NP |
Practice Address |
975 Kingsview Dr Lebanon OH 45036-9562 |
Mailing Address |
1910 Fairgrove Ave Hamilton OH 45011-1930 |
Practice Telephone | 5132287800 |
Mailing Telephone | 5138680055 |
Enumeration Date | 2015-12-03 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.18443-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.18443.CNP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
975 KINGSVIEW DR |
City | LEBANON |
State | OH |
Zip Code | 45036-9562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740278381 | Community Mental Health Centers of Warren County, Inc | Clinic/Center | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2005-10-07 |
1962010157 | Amanda Vincent | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-07-14 |
1457978892 | Ross Robertson | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-07-01 |
1982223178 | Cierra Moran | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-04-08 |
1205463437 | Elizabeth Delia Staab | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-03-26 |
1184259152 | Kelsey Lynn Stone | Case Manager/Care Coordinator | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-03-10 |
1437798493 | Sahar Abouchahine-allan | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-12-22 |
1477190825 | Stephanie Wright | Counselor | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-12-04 |
1568008365 | Ashley N Hendrixson | Case Manager/Care Coordinator | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-11-27 |
1164066890 | Madeline Kenter | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
Find all providers in zip 45036 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
1184785115 | Lisa Jane Martin | Nurse Practitioner | 3791 State Route 63, Lebanon, OH 45036-9371 | 2006-12-13 |
1932128824 | Mary Pat Ernst | Nurse Practitioner | 71 S Flannagan Ave, Lebanon, VA 24266 | 2006-07-19 |
1619525383 | Nicholas Rock | Nurse Practitioner | 1600 W Main St, Lebanon, IN 46052-2388 | 2019-08-27 |
1104321405 | Amanda Elizabeth Loughlin | Nurse Practitioner | 58 Carroll Street, Lebanon, VA 24266 | 2018-03-28 |
1790131340 | Vertrees Clinical Group, Pllc | Nurse Practitioner | 125 S College St, Lebanon, TN 37087-3642 | 2016-05-12 |
1639428303 | Arthoen A Wolf | Nurse Practitioner | 1 Medical Dr, Lebanon, NH 03756-1000 | 2012-09-10 |
1295007276 | Rebecca Ann Casey | Nurse Practitioner | One Medical Center Drive, Dept of Psychiatry, Lebanon, NH 03756-0001 | 2012-02-06 |
1831492115 | Holly Anne Liter | Nurse Practitioner | 1432 W Main St, Suite 402, Lebanon, TN 37087-1323 | 2010-12-08 |
1164607495 | Lee Ann Barnett | Nurse Practitioner | 1432 W Main St, Lebanon, TN 37087-1323 | 2008-01-05 |
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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.