Individual provider Active NPI

Leigh Kim Florio, PA

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1063640357
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002926 Issued in VA
Practice address
2216 Princess Anne St
Fredericksburg, VA 22401-3300
Phone
(540) 370-4380
Fax
(540) 370-4201
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002926 VA Primary

Addresses

Primary practice location

2216 Princess Anne St
Fredericksburg, VA 22401-3300

Mailing address

2216 Princess Anne St
Fredericksburg, VA 22401-3300
Phone (540) 370-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000574 VA Practitioner - Physician Assistant 7719031079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1063640357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-370-4380",
            "fax_number": "540-370-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-370-4380",
            "fax_number": "540-370-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIO",
        "first_name": "LEIGH",
        "middle_name": "KIM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.