Active NPI
Lindsey Ann Leopold, RN
- Registered Nurse
- Central Islip, NY
National Provider Identifier
1104534197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 752822
- Practice address
- 85 Wheeler Rd
Central Islip, NY 11722-2026 - Phone
- (631) 348-5000
- Fax
- (631) 348-4582
- NPI assigned
- Nov 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 752822 | NY | Primary |
Addresses
Primary practice location
85 Wheeler Rd
Central Islip, NY 11722-2026
Mailing address
1 Broadway Ave
Central Islip, NY 11722-2436
Phone (631) 348-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752822 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lleopold@centralislip.k12.ny.us | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752822 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1104534197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROADWAY AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222436",
"telephone_number": "631-348-5041",
"fax_number": "631-348-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WHEELER RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222026",
"telephone_number": "631-348-5000",
"fax_number": "631-348-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOPOLD",
"first_name": "LINDSEY",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "752822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "752822",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lleopold@centralislip.k12.ny.us",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "85 Wheeler Rd",
"city": "Central Islip",
"state": "NY",
"country_code": "US",
"postal_code": "117222026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.