Individual provider Active NPI

Mary Ann Leadbeater

  • Home Health Agency
  • Smithfield, PA
National Provider Identifier
1194063545
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11313601 Issued in PA
Practice address
385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Phone
(724) 710-8885
Fax
(724) 569-1068
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11313601 PA Primary

Addresses

Primary practice location

385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237

Mailing address

385 Smithfield Highhouse Rd
Smithfield, PA 15478-1237
Phone (724) 710-8885

Other identifiers 1

IdentifierTypeStateIssuer
11313601OtherPACERTIFICATE OF LICENSURE

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

LicenseStateTypeSpecialty
11313601PAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Angels Home Care Home Health Past Accepting new patients

Organizations & group practices 1

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1194063545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SMITHFIELD HIGHHOUSE RD",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154781237",
            "telephone_number": "724-710-8885",
            "fax_number": "724-569-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SMITHFIELD HIGHHOUSE RD",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154781237",
            "telephone_number": "724-710-8885",
            "fax_number": "724-569-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADBEATER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "11313601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF LICENSURE",
            "identifier": "11313601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.