Provider Demographics
NPI:1770617011
Name:LEINART, ROBBIE RAE (APRN-BC)
Entity type:Individual
Prefix:
First Name:ROBBIE
Middle Name:RAE
Last Name:LEINART
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:ROBBIE
Other - Middle Name:RAE
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:169 MADISON AVE STE 38114
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5101
Mailing Address - Country:US
Mailing Address - Phone:646-876-8455
Mailing Address - Fax:833-314-0246
Practice Address - Street 1:2908 POSTON AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1309
Practice Address - Country:US
Practice Address - Phone:646-876-8455
Practice Address - Fax:833-314-0246
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312297363LA2200X
TN12630363LA2200X
MARN10024117363LA2200X
TX1204825363LA2200X
CA95034867363LA2200X
VA0024194900363LA2200X
FLTPAN3053363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ008667Medicaid