Individual provider Active NPI

Allison Leikam, RN, MSN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1144839838
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
03561336 Issued in MA
Practice address
5 Pleasant St
Braintree, MA 02184-1824
Phone
(913) 428-6986
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 03561336 MA Primary

Addresses

Primary practice location

5 Pleasant St
Braintree, MA 02184-1824

Mailing address

5 Pleasant St
Braintree, MA 02184-1824
Phone (913) 428-6986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210208001336 MA Practitioner - Nurse Practitioner 3072927862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Longwater Dr
Suite 200
Norwell, MA 02061-1653
Phone (781) 659-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
03561336MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwell Visiting Nurse Association Inc CurrentSince Mar 25, 2025 Accepting new patients
Norwell Visiting Nurse Association, Inc Current Accepting new patients
Seasons Medical Group of Massachusetts, PC CurrentSince May 17, 2021 Accepting new patients
Seasons Hospice & Palliative Care of Massachusetts, LLC PastSince May 17, 2021 Accepting new patients

Locations

20 Burlington Mall Rd
Ste 450
Burlington, MA 01803
Phone (617) 454-0200

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

1 Edgewater Dr
Ste 103
Norwood, MA 02062
Phone (617) 454-0200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1144839838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLEASANT ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841824",
            "telephone_number": "913-428-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLEASANT ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841824",
            "telephone_number": "913-428-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKAM",
        "first_name": "ALLISON",
        "credential": "RN, MSN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "03561336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.