Physician Compare National (NPI:1629453030)

HEALTHCARE PROVIDER: LEAH CARRINGTON APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629453030
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062712631
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151203002431
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARRINGTON
	Individual professional last name
Provider First Name	LEAH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2988 W HUNTSVILLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	SPRINGDALE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727627739
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST MEDICAL CENTER-SPRINGDALE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040152
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PHYSICIANS' SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y