Kristen Leahy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61445168 Issued in WA

Practice address

3309 45TH Street CT
Gig Harbor, WA 98335-8222

Phone

(253) 858-8688

NPI assigned

Jun 13, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration MD LLCGroup PAC ID 8729022736, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristen.leahycrnp.p3@direct.cvr.nextgenshare.com

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.

• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1770741753
  Medicare reassignment Care Compare group NPD
• Post Acute Rehabilitation Physicians LLC

  • Physical Medicine & Rehabilitation Physician
  • Lehi, UT
  • NPI 1023781028

  WA

  Medicare reassignment NPD
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Prince Frederick, MD
  • NPI 1912729211
  NPD
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1487772349
  NPD (past)

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1225871726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E SOUTH TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 45TH STREET CT",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358222",
            "telephone_number": "253-858-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "AP61445168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61445168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imka Lavinder, DO
• Annie Nichole Laweryson, PH.D., MS
• Danielle Faye Lawson, L.M.P.
• Jonathan Lawson
• Trina J. Leaf, P.T.
• Michelle Lynn Learned, COTA/L
• Jennifer A Lee, DO
• Nathan Parm Lee, LMHCA
• Vicky H Lee, M.D.
• Suzanne Sexton Leichman, MA, ARNP,BC

• Family Nurse Practitioner in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.