Active NPI
Leila J. Garrett, M.D.
- Gynecology Physician
- Cos Cob, CT
National Provider Identifier
1043409667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 033702
- Practice address
- 31 River Rd Ste 102
Cos Cob, CT 06807-2152 - Phone
- (203) 742-1150
- Fax
- (203) 489-3411
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 033702 | CT | Primary |
Addresses
Primary practice location
31 River Rd Ste 102
Cos Cob, CT 06807-2152
Mailing address
31 River Rd Ste 102
Cos Cob, CT 06807-2152
Phone (203) 742-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010033702CT02 | Other | CT | ANTHEM BLUE CROSS |
Other names 1
- Leila Jo Garrett-Stevens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2014 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033702 | CT | MD | Gynecology Physician |
Interoperability endpoints
- lgarrett6124@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1043409667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 RIVER RD STE 102",
"city": "COS COB",
"state": "CT",
"postal_code": "068072152",
"telephone_number": "203-742-1150",
"fax_number": "203-489-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 RIVER RD STE 102",
"city": "COS COB",
"state": "CT",
"postal_code": "068072152",
"telephone_number": "203-742-1150",
"fax_number": "203-489-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "LEILA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "033702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "010033702CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEILA",
"last_name": "GARRETT-STEVENS",
"middle_name": "JO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.