Active NPI
Leslie Thede
- Child Mental Illness Respite Care
- Neenah, WI
National Provider Identifier
1043943798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- Practice address
- 1556 Lone Oak Dr
Neenah, WI 54956-6541 - Phone
- (920) 418-1793
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| Child Mental Illness Respite Care | 385HR2055X | Primary |
Addresses
Primary practice location
1556 Lone Oak Dr
Neenah, WI 54956-6541
Mailing address
1556 Lone Oak Dr
Neenah, WI 54956-6541
Phone (920) 418-1793
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1043943798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 LONE OAK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549566541",
"telephone_number": "920-418-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 LONE OAK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549566541",
"telephone_number": "920-418-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEDE",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare-Peabody Manor
- Therapy & Tattoos LLC
- Kay Ellen Theyerl, M.D.
- Mark Robert Thiel, OTR
- Kathleen Kim Thome, MSED, LPC
- Katherine Mary Thompson, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.