Mandy Leonard, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R093506 Issued in AR

Practice address

505 E Matthews Ave
Jonesboro, AR 72401-3144

Phone

(870) 207-7826

Fax

(870) 207-0524

NPI assigned

May 17, 2018

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1184114928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013144",
            "telephone_number": "870-207-7826",
            "fax_number": "870-207-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013144",
            "telephone_number": "870-207-7826",
            "fax_number": "870-207-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "MANDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AR",
            "license": "R093506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "R093506",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Louis Lefebvre, LCSW
• Tara Lehman, LPN
• Tera Renea Lehman
• Lance Steven Lenards
• Ethan Leonard
• Melanie Leonard
• Stephanie Leonard
• Robert Lercher
• Lavonne Lesley, LCSW
• Stefanie Renee Lesley, APRN

• Diabetes Educator Registered Nurse in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Diabetes Educator Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.