Active NPI
Kim Leufroy, L.M.P.
- Specialist
- Everett, WA
National Provider Identifier
1104940642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00008020
- Practice address
- 607 SE Everett Mall Way
Plaza Suites 10-7
Everett, WA 98208-3248 - Phone
- (425) 514-3418
- Fax
- (425) 514-3418
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00008020 | WA | Primary |
Addresses
Primary practice location
607 SE Everett Mall Way
Plaza Suites 10-7
Everett, WA 98208-3248
Mailing address
607 SE Everett Mall Way
Plaza Suites 10-7
Everett, WA 98208-3248
Phone (425) 514-3418
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 |
|---|---|---|---|
| MA00008020 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104940642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 SE EVERETT MALL WAY",
"address_2": "PLAZA SUITES 10-7",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083248",
"telephone_number": "425-514-3418",
"fax_number": "425-514-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SE EVERETT MALL WAY",
"address_2": "PLAZA SUITES 10-7",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083248",
"telephone_number": "425-514-3418",
"fax_number": "425-514-3418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUFROY",
"first_name": "KIM",
"name_prefix": "Ms.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00008020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.