JESSIE FUENTES LEONARD


Address: 1401 Roosevelt Ave, York, PA 17404
Phone: 7178127000

JESSIE FUENTES LEONARD (NPI# 1487087664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487087664
Entity Type Individual
Full Name JESSIE FUENTES LEONARD
Other Name JESSIE ONDINA FUENTES
Credential CRNP
Practice Address 1401 Roosevelt Ave
York
PA 17404
Mailing Address 3421 Concord Rd
York
PA 17402-9001
Practice Telephone 7178127000
Practice Fax Number 7177678985
Mailing Telephone 7178511405
Mailing Fax Number 7178516969
Enumeration Date 2013-08-12
Last Update Date 2019-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
R205536 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP013065 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK BLUE SHIELD-FREEDOM BLUE 3002240 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
605 S George St, Suite 200, York, PA 174013160 7178512334 7178513498

Office Location

Street Address 1401 ROOSEVELT AVE
City YORK
State PA
Zip Code 17404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346566338 Quincy O Harberger Family Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2010-04-15
1437774098 Wellspan Medical Group Internal Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2020-06-10
1073169249 Detrich Brown Nurse Practitioner 1401 Roosevelt Ave, York, PA 17404-2244 2019-08-14
1740835560 Wellspan Medical Group Family Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2019-08-08
1790260164 Brandy Lauren Borman Nurse Practitioner 1401 Roosevelt Ave, York, PA 17404-2244 2018-10-01
1225542616 Nicole Scythia Rios Nurse Practitioner 1401 Roosevelt Ave, York, PA 17404-2244 2017-11-22
1730600834 Chinwendu Opara Family Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2017-06-29
1477951705 Lauren O Blevins Nurse Practitioner 1401 Roosevelt Ave, York, PA 17404-2244 2014-12-19
1881020808 Wellspan Medical Group Family Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2013-09-23
1568809200 Kristina Elaine Louise Nivus Family Medicine 1401 Roosevelt Ave, York, PA 17404-2244 2013-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457729584 Aspire Prosthetics & Orthotics Inc. Prosthetic/Orthotic Supplier 506 Greenbriar Rd., York, PA 17404 2015-09-06
1043619752 Roberta Reib Munsell Counselor 651 Albright Avenue, York, PA 17404 2014-08-19
1104113752 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 1207 Carlisle Rd, Ste. 880, York, PA 17404 2011-07-05
1184917254 Morris E Ogun Pharmacist 40-42 West Market Street, York, PA 17404 2011-05-24
1295030245 Counseling & Rehabilitation Services of York Psychologist 437 West Market St., York, PA 17404 2011-01-24
1609008556 Venkateswar R Kapa Dentist 351 Loucks Rd, York, PA 17404 2009-08-11
1114176294 Concentra Health Services, Inc. Clinic/Center 2141 Pennsylvania Avenue, York, PA 17404 2008-09-15
1548473176 Patricia Neel Harberger Registered Nurse 2159 White Street, Partners In Family Health, York, PA 17404 2007-05-08
1679799936 Updegrove & Updegrove Dentist 439 N West St, York, PA 17404 2007-04-17
1427171271 Bell Club, Inc. Community/Behavioral Health 3955 West Market Street, York, PA 17404 2007-04-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063029957 Desta Kebede Nurse Practitioner 3417 Concord Rd Ste C, York, PA 17402-9001 2020-09-25
1154945376 William Joseph Thatcher Nurse Practitioner 3056 Mackenzi Ln Apt 3, York, PA 17408-9265 2020-06-03
1124661988 Veronica Bunty Nurse Practitioner 1920 Queenswood Dr Ste 200, York, PA 17403-4269 2019-10-24
1407408107 Olivia Christina Burrell Nurse Practitioner 1176 Whitehall Hill Rd, York, SC 29745-7780 2019-07-12
1417484577 Oma Mae Riley-giomariso Nurse Practitioner 1045 Gleneagles Dr, York, PA 17404-1115 2017-05-18
1265972152 Alex Kelly Nurse Practitioner 235 Saint Charles Way Ste 250, York, PA 17402-4662 2017-02-27
1649721713 Omasiel Herenia Comrie-reinert Nurse Practitioner 2690 Southfield Dr Ste A, York, PA 17403 2016-10-24
1376905372 Vanessa Lynn Millsaps Nurse Practitioner 1575 Bannister St Ste 7, York, PA 17404-4946 2016-03-28
1528436219 Heidi Wilkerson Nurse Practitioner 2149 S Queen St, York, PA 17403-4845 2015-09-11
1225438054 Timothy D Schrank Nurse Practitioner 605 S George St Ste 200, York, PA 17401-3161 2014-08-28
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Competitor

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City YORK
Zip Code 17404

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Dataset Information

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.

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