Dietra A Leastman, APRN is a
Nurse Practitioner - Neonatal based in Apo, Kansas. Dietra A Leastman is licensed to practice in Kansas (license number 75393) and her current practice location is
Landstuhl Regional Medical Center Unit 33100, Apo, Kansas. She can be reached at her office (for appointments etc.) via phone at
(314) 590-5876.
NPI number for Dietra A Leastman is 1124384995 and her current mailing address is Landstuhl Regional Medical Center Unit 33100, Apo, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124384995.
Provider's Profile
Full Name | Dietra A Leastman |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | Landstuhl Regional Medical Center Unit 33100, Apo, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124384995
- Provider Enumeration Date: 04/06/2012
- Last Update Date: 09/21/2022
Medical Identifiers
Medical identifiers for Dietra A Leastman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124384995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LN0000X | Nurse Practitioner - Neonatal | 75393 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dietra A Leastman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dietra A Leastman, APRN Landstuhl Regional Medical Center Unit 33100, Apo, KS 09180 Ph: (314) 590-5876 | Dietra A Leastman, APRN Landstuhl Regional Medical Center Unit 33100, Apo, KS 09180-3100 Ph: (314) 590-5876 |
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