Active NPI
Jennifer Woodard Leiding, M.D.
- Pediatric Allergy/Immunology Physician
- Orlando, FL
National Provider Identifier
1053590273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- ME112531
- Practice address
- 60 W Gore St
Orlando, FL 32806-1141 - Phone
- (321) 841-7360
- Fax
- (321) 841-7361
- NPI assigned
- Oct 25, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME112531 | FL | |
| Pediatrics Physician | 208000000X | MD037831 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN9945 | FL | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | ME112531 | FL | Primary |
Addresses
Primary practice location
60 W Gore St
Orlando, FL 32806-1141
Mailing address
60 W Gore St
Orlando, FL 32806-1141
Phone (321) 841-7360
Other names 1
- Jennifer Lyn Woodard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037831 | DC | MD | Pediatrics Physician |
| ME112531 | FL | MD | Pediatric Allergy/Immunology Physician |
| TRN9945 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Pediatrics | Past | Accepting new patients |
Locations
60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
Interoperability endpoints
- jleiding734691@direct.hopkinsmedicine.org
- jleiding315306@orlandohealth.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1053590273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-7360",
"fax_number": "321-841-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-7360",
"fax_number": "321-841-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDING",
"first_name": "JENNIFER",
"middle_name": "WOODARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2021-10-18",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME112531",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD037831",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN9945",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "FL",
"license": "ME112531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WOODARD",
"middle_name": "LYN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.