LEEANN MCDERMOTT CRNP NPI 1649748385

NPI Information

NPI: 1649748385
Provider Name: LEEANN MCDERMOTT, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
420 S JACKSON ST
POTTSVILLE, PA
ZIP 17901
Phone: (570) 621-5000
Get Directions

Leeann Mcdermott, CRNP is a family nurse practitioner in Pottsville, PA. Leeann Mcdermott, CRNP NPI is 1649748385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

420 S JACKSON ST
POTTSVILLE, PA
ZIP 17901-625
Phone: (570) 621-5000

The NPI 1649748385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2018 and was last updated on 11/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	RN303680L	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	SP019327	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN30368L	OTHER	PENNSYLVANIA	RN
2	SP019327	OTHER	PENNSYLVANIA	CRNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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