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LEATHERMAN HEALTHCARE, LLC
NPI 1972250009
Nurse Practitioner - Primary Care in Hagerstown, MD

Active since March 08, 2022CLIA 21D2258708 · Waiver
118 E OAK RIDGE DR STE 2000, HAGERSTOWN, MD 21740(301) 678-1839(301) 679-1740 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Jul 7, 2022, Mar 8, 2022 (3 updates tracked since 2022).

About Leatherman Healthcare, Llc NPPES

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

LEATHERMAN HEALTHCARE, LLC (NPI 1972250009) is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Gwenn Leatherman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972250009
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLEATHERMAN HEALTHCARE, LLC
Location Address118 E OAK RIDGE DR STE 2000Hagerstown, MD 21740-7890
Mailing Address118 E Oak Ridge Dr Ste 2000Hagerstown, MD 21740-7890 · (301) 678-1839 · Fax (301) 679-1740
Phone(301) 678-1839
Fax(301) 679-1740
Organization SubpartNo
Authorized OfficialGwenn LeathermanCeo · (301) 418-5828
Enumeration DateMarch 8, 2022
Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1972250009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
118 E OAK RIDGE DR STE 2000, Hagerstown, MD 21740
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Other Names 1

Former Legal Business NameLeatherman Healthcare, Llc

Other Identifiers 1

Other1164875643MD · Family Nurse Practitioner

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2258708

Leatherman Healthcare · Hagerstown, MD
Active · expires Apr 25, 2028
CLIA Number21D2258708
Laboratory TypeFnp Owned Pcp
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorGwenn E. Leatherman
Laboratory Phone(301) 678-1839
Laboratory LocationLeatherman Healthcare118 East Oak Ridge Dr Suite 2000, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CHRISTINA ANN QUIN CRNP
Nurse Practitioner (Family)
118 E OAK RIDGE DR STE 2000
HAGERSTOWN, MD 21740
Washington County (301) 678-1839
DR. GWENN LEATHERMAN
Nurse Practitioner (Family)
118 E OAK RIDGE DR STE 2000
HAGERSTOWN, MD 21740
Washington County (016) 781-8393
TAMMY ANN MILLS
Technician, Pathology (Phlebotomy)
118 E OAK RIDGE DR STE 2000
HAGERSTOWN, MD 21740
Washington County (301) 582-8563
LABS ON THE GO, LLC
Technician, Pathology (Phlebotomy)
118 E OAK RIDGE DR STE 2000
HAGERSTOWN, MD 21740
Washington County (301) 582-8563

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 Leatherman Healthcare, LLC's NPI number?

The NPI number for Leatherman Healthcare, LLC is 1972250009. It was assigned to this organization in the NPPES registry on March 8, 2022.

Where is Leatherman Healthcare, LLC located?

Leatherman Healthcare, LLC is located at 118 E Oak Ridge Dr Ste 2000, Hagerstown, MD 21740. The listed phone number is (301) 678-1839.

What is Leatherman Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Leatherman Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2258708) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leatherman Healthcare, LLC was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.