MISS MA CORNELIA VILLAVICENCIO LEANO (NPI# 1780179580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780179580 |
| Entity Type | Individual |
| Full Name | MISS MA CORNELIA VILLAVICENCIO LEANO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3081 Stone Carriage Cir Apt Z Fayetteville NC 28304 |
| Mailing Address |
3081 Stone Carriage Cir Apt Z Fayetteville NC 28304-5591 |
| Practice Telephone | 8186750386 |
| Mailing Telephone | 8186750386 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LEAN-18CO92 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
LEAN-18CO92 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3081 STONE CARRIAGE CIR APT Z |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| 1760911028 | Gabrielle Wheat | Social Worker | 2211 Hope Mills Road, Fayetteville, NC 28304 | 2017-06-08 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120414 | Tumesha Lashay Williams | Nurse Practitioner | 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 | 2015-12-02 |
| 1013992056 | Judy Sasser Stanfield | Nurse Practitioner | 4600 Cumberland Rd, Fayetteville, NC 28306-2412 | 2005-12-13 |
| 1467917468 | Holland Belline | Nurse Practitioner | 12 E Appleby Rd Ste 101, Fayetteville, AR 72703-3928 | 2019-02-04 |
| 1477004422 | Angela Marie Boivin | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-10-14 |
| 1225301708 | Adewale Ogunwo | Nurse Practitioner | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | 2012-02-15 |
| 1528197027 | Florence Vimala Rathinam | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2007-03-02 |
| 1316959216 | Charles W Tevebaugh | Nurse Practitioner | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-08-12 |
| 1417970930 | Linda N Jones | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-25 |
| 1295755742 | Wilma Arlene Mcadams | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MISS MA CORNELIA VILLAVICENCIO LEANO.
| 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.