LEADETH STILLWATERS
NPI 1497467641
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Leadeth Stillwaters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEADETH STILLWATERS (NPI 1497467641) is a healthcare organization registered as a psychiatric/mental health in Washington, District Of Columbia and active in the NPI registry since December 2022. The organization lists Fatima Muna Koroma, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leadeth Stillwaters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Leadeth Stillwaters, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leadeth Stillwaters's NPI number?
The NPI number for Leadeth Stillwaters is 1497467641. It was assigned to this organization in the NPPES registry on December 20, 2022.
Where is Leadeth Stillwaters located?
Leadeth Stillwaters is located at 712 H St NE Ste 1628, Washington, DC 20002. The listed phone number is (301) 265-5922.
What is Leadeth Stillwaters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Leadeth Stillwaters enrolled in Medicare?
Yes. Leadeth Stillwaters is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leadeth Stillwaters?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Leadeth Stillwaters. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Leadeth Stillwaters was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Leadeth Stillwaters · NPI 1497467641
Psychiatric/Mental Health organization in Washington, District of Columbia. Organization record, active in the CMS NPPES registry since December 20, 2022.
## Identity
- **NPI:** 1497467641 (Entity type: Organization)
- **Enumerated:** December 20, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Fatima Koroma, CEO
## Practice location
- **Address:** 712 H ST NE STE 1628, Washington, DC 20002-3627
- **Phone:** (301) 265-5922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497467641) · Data from the CMS NPPES public registry.