Individual provider Active NPI

Leah Kidder, PA-C

  • Physician Assistant
  • Cohocton, NY
National Provider Identifier
1003338278
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020888 Issued in NY
Practice address
25 Park Ave
Cohocton, NY 14826-9401
Phone
(585) 384-5310
NPI assigned
Jul 10, 2017
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020888 NY Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 020888 NY
Surgery Physician 208600000X 020888 NY

Addresses

Primary practice location

25 Park Ave
Cohocton, NY 14826-9401

Mailing address

10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

Other practice location 1

60 Red Jacket St Ste 1
Dansville, NY 14437-1769
Phone (585) 335-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908001091 NY Practitioner - Physician Assistant 6406129717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 Park Ave
Cohocton, NY 14826-9401
Phone (585) 384-5310

60 Red Jacket St
Suite 1
Dansville, NY 14437-1769
Phone (585) 335-6041

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine Program, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Tri-County Family Medicine Program, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

25 Park Ave
Cohocton, NY 14826
Phone (585) 384-5310

10869 State Route 36
Dansville, NY 14437
Phone (585) 335-3100

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Ste 1
Dansville, NY 14437
Phone (585) 335-6041

50 E South St
Ste 700
Geneseo, NY 14454
Phone (585) 243-1700

200 N Main St
Wayland, NY 14572
Phone (585) 728-2044

Interoperability endpoints

  • Direct secure messaging: leah.kidder@tfmpi.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1003338278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 STATE ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PARK AVE",
            "city": "COHOCTON",
            "state": "NY",
            "postal_code": "148269401",
            "telephone_number": "585-384-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Red Jacket St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144371769",
            "country_code": "US",
            "telephone_number": "585-335-6041",
            "fax_number": "585-335-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "LEAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020888",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "020888",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "020888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohocton, NY

Sources for this page

Verify at the official NPI Registry.