Angela Marie Leete

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00387 Issued in IA

Practice address

605 Washington St
Fayette, IA 52142-9206

Phone

(563) 425-5782

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Ehlers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003932484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 COLUMBIA AVE",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741639",
            "telephone_number": "563-578-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WASHINGTON ST",
            "city": "FAYETTE",
            "state": "IA",
            "postal_code": "521429206",
            "telephone_number": "563-425-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "EHLERS",
            "middle_name": "MARIE",
            "credential": "ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Ron Formanek, PHARMD
• Miranda Leann Franck, PMHNP-BC
• Gundersen Clinic, LTD.
• Hands on Health Inc. (Fayette Chiropractic Clinic)
• Brady Jahr
• Naomi Ann Luckey Bothe
• Molly Michelle McDonald, ATC, LAT
• Jordan Oberbreckling, ATC, LAT
• Alyssa Kate Orr, PHARMD
• Palmer Lutheran Health Center, Inc. (Gundersen Palmer Lutheran Hospital and Clinics - Fayette)

• Athletic Trainer in Fayette, IA
• Providers in Fayette, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.