LEANNA CAROL FANDL NP
NPI 1700162823
Nurse Practitioner - Family in Portage, IN

Q: What is Leanna Fandl's NPI number?

The NPI number for Leanna Fandl is 1700162823. It was assigned to this individual provider in the NPPES registry on November 3, 2011. The provider is also known as Leanna Dipert Fandl Np.

Q: What is Leanna Fandl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leanna Fandl was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since November 03, 2011

6615 S BOUNDARY RD, PORTAGE, IN 46368(219) 787-8662(219) 787-8420 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Leanna Carol Fandl Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEANNA CAROL FANDL NP (NPI 1700162823) is an individual family provider in Portage, Indiana, licensed in Indiana (28105935A) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1700162823

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEANNA CAROL FANDLCredential: NP

Location Address6615 S BOUNDARY RDPortage, IN 46368-1373

Mailing Address6615 S Boundary RdPortage, IN 46368-1373 · (219) 787-8662 · Fax (219) 787-8420

Phone(219) 787-8662

Fax(219) 787-8420

Sole ProprietorNo

Enumeration DateNovember 3, 2011

Last NPPES UpdateJanuary 30, 2015

✔ NPI 1700162823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28105935A

6615 S BOUNDARY RD, Portage, IN 46368

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Other Names 1

Professional Name (2)Leanna Dipert Fandl Np

Other Identifiers 1

Medicare UPINM400058809IN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BARBARA JANE HERIC FNP

Nurse Practitioner (Family)

6615 S BOUNDARY RD
PORTAGE, IN 46368

Porter County (219) 787-8662

HEALTHEACCESS CLINICS L.L.C.

Preventive Medicine (Occupational Medicine)

6615 S BOUNDARY RD
PORTAGE, IN 46368

Porter County (219) 787-8662

HOOSIER HEALTHCARE LLC

Clinic/Center (Occupational Medicine)

6615 S BOUNDARY RD
PORTAGE, IN 46368

Porter County (219) 787-8662

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 Leanna Fandl's NPI number?

The NPI number for Leanna Fandl is 1700162823. It was assigned to this individual provider in the NPPES registry on November 3, 2011. The provider is also known as Leanna Dipert Fandl Np.

Where is Leanna Fandl located?

Leanna Fandl practices at 6615 S Boundary Rd, Portage, IN 46368. The listed phone number is (219) 787-8662.

What is Leanna Fandl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Leanna Fandl was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.