Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leah Mira Blum, APRN-CNP

Individual provider Adult Health Nurse Practitioner · NPI 1023686185

Leah Mira Blum, APRN-CNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Ohio.

Years since qualifying
6
Licensed in
NC, OH
In the registry since
2021
Specialties on file
5

Practice location Address checks out

1918 Randolph Rd Ste 220
Charlotte, NC 28207-1109
Phone: (704) 316-1125
Fax: (704) 316-1143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017837 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0028739 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0028739 (OH)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 0028739 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 0028739 (OH)

Record details

NPI number1023686185
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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