Leaudra Hackett

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

891094 Issued in NY

Practice address

5873 US-219
Ellicottville, NY 14731

Phone

(716) 669-2368

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1073347639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E STATE ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5873 US-219",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "14731",
            "telephone_number": "716-669-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "LEAUDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "891094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellicottville Optical Inc.
• Ellicottville Pharmacy Inc
• Ellicottville Pharmacy Inc
• General Physician, PC (Olean Medical Group)
• Diana Marie Golley, RN
• Katelyn Elizabeth Johnson-Clark, D.O.
• Darla Jean Kent, OTD, MS, OTR/L
• Margaret Helen Kent, NP
• Sherwood Klein Jr., RPH
• Daniel Frederick Lee, LMT

• School Registered Nurse in Ellicottville, NY
• Providers in Ellicottville, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.