Carolyn Dianne Leadholm-Wittke, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704189159 Issued in MI

Practice address

4450 Fashion Square Blvd
Saginaw, MI 48603-1251

Phone

(989) 792-4090

Fax

(989) 792-4094

NPI assigned

Jul 13, 2005

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

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

University of Michigan Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Specialists, PLLCGroup PAC ID 6507099207, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.leadholm@comppainspecialists.ssdirect.aprima.com

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.

• Comprehensive Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Saginaw, MI
  • NPI 1013331180
  Medicare reassignment Care Compare group NPD
• Comprehensive Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Midland, MI
  • NPI 1558903294
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124026018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031251",
            "telephone_number": "989-792-4090",
            "fax_number": "989-792-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031251",
            "telephone_number": "989-792-4090",
            "fax_number": "989-792-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADHOLM-WITTKE",
        "first_name": "CAROLYN",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704189159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabta Bahaeldeen Laz, MD
• Nicholas Tripp Lazurka, (PA-C)
• Marion Lazzaro
• Lisa Ellen Leach, FNP
• Tania Leachman
• Leagacy Home Care Solutions LLC
• Emma Louise Leal
• Meliisa Leal
• Lindsay McIntyre Learman
• Kyley Leaym

• Family Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.