Individual provider Active NPI

Anthony George Leonard, ARNP-C

  • Family Nurse Practitioner
  • Lander, WY
National Provider Identifier
1235228388
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1752 Issued in WY
Practice address
175 N 1St St
Lander, WY 82520-2803
Phone
(307) 332-2189
Fax
(307) 332-2803
NPI assigned
Oct 12, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1752 WY Primary

Addresses

Primary practice location

175 N 1St St
Lander, WY 82520-2803

Mailing address

175 N 1St Street
Lander, WY 82520-0000
Phone (307) 332-2189

Other practice location 1

460 Railroad St
Lander, WY 82520-2353
Phone (307) 332-5611

Other identifiers 1

IdentifierTypeStateIssuer
142062300MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aleonard@sjmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140407000644 TX Practitioner - Nurse Practitioner 9830267061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wind River Family & Community Healthc Care CurrentSince Feb 16, 2016 Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients

Locations

14 Great Plains Rd
Arapahoe, WY 82510

Interoperability endpoints

  • Direct secure messaging: aleonard@sjmc.cernerdirect.com
  • Direct secure messaging: anthony.leonard.1@29403.direct.athenahealth.com

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1235228388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N 1ST STREET",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825200000",
            "telephone_number": "307-332-2189",
            "fax_number": "307-332-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N 1ST ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202803",
            "telephone_number": "307-332-2189",
            "fax_number": "307-332-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825202353",
            "country_code": "US",
            "telephone_number": "307-332-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142062300",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleonard@sjmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address for St John's Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "175 N 1st St",
            "city": "Lander",
            "state": "WY",
            "country_code": "US",
            "postal_code": "825202803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.