Active NPI
Kristin Jay Leahy, APN-C
- Critical Care Neonatal Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1063781482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 5006035
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 667-2970
- NPI assigned
- Dec 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 26NJ00343100 | NJ | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5006035 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
120 Marina Bay CT
Highlands, NJ 07732-1565
Phone (757) 291-1543
Other practice location 1
120 Marina Bay Ct
Highlands, NJ 07732-1565
Phone (757) 291-1543
Other names 1
- Miss Kristin Jay Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kleahy800006@direct.UNC.nchie.net | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5006035 | NC | MD | Critical Care Neonatal Nurse Practitioner |
| 26NJ00343100 | NJ | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- kleahy800006@direct.unc.nchie.net
- kleahy1248437@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1063781482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MARINA BAY CT",
"city": "HIGHLANDS",
"state": "NJ",
"postal_code": "077321565",
"telephone_number": "757-291-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-2970"
}
],
"practiceLocations": [
{
"address_1": "120 Marina Bay Ct",
"address_purpose": "LOCATION",
"city": "Highlands",
"state": "NJ",
"postal_code": "077321565",
"country_code": "US",
"telephone_number": "757-291-1543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAHY",
"first_name": "KRISTIN",
"middle_name": "JAY",
"name_prefix": "Mrs.",
"credential": "APN-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NJ",
"license": "26NJ00343100",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NC",
"license": "5006035",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kleahy800006@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2131 S 17th St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BROWN",
"middle_name": "JAY",
"prefix": "MISS",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.