Individual provider Active NPI

Julie Bonner Leonhardt, PNP

  • Pediatric Nurse Practitioner
  • Newton, MA
National Provider Identifier
1164545927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
259634 Issued in MA
Practice address
2000 Washington St
Suite 201
Newton, MA 02462-1650
Phone
(617) 244-2855
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 259634 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 201
Newton, MA 02462-1650

Mailing address

2000 Washington St
Suite 201
Newton, MA 02462-1650
Phone (617) 244-2855

Other identifiers 1

IdentifierTypeStateIssuer
1134199912OtherMANPI

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
I20120824000007 MA Practitioner - Nurse Practitioner 1557518628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
259634MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Hospital Current Accepting new patients
Pediatrics West, PC CurrentSince Mar 1, 2018 Accepting new patients
Specialty West PLLC Past Accepting new patients
Child and Family Psychological Services, PLLC PastSince Jun 15, 2020 Accepting new patients

Locations

120 Boston Rd
Ste 1
Groton, MA 01450
Phone (978) 577-0437

133 Littleton Rd
Ste 103
Westford, MA 01886
Phone (978) 619-5447

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: leonhardt.julie.epho@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164545927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-244-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-244-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "JULIE",
        "middle_name": "BONNER",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "259634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134199912",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.