Individual provider Active NPI

Leah Elizabeth Gherardi, SPECIAL EDUCATION

  • Student in an Organized Health Care Education/Training Program
  • Port Ewen, NY
National Provider Identifier
1023458296
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
159582021 Issued in NY
Practice address
163 Salem Street
Port Ewen, NY 12466
Phone
(845) 853-6855
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 159582021 NY Primary

Addresses

Primary practice location

163 Salem Street
Port Ewen, NY 12466

Mailing address

PO Box 122
Port Ewen, NY 12466-0122
Phone (845) 853-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
159582021NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1023458296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124660122",
            "telephone_number": "845-853-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SALEM STREET",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "12466",
            "telephone_number": "845-853-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHERARDI",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "SPECIAL EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "159582021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ewen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.