Mary Elizabeth Leffingwell

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NUR-APRN-115785 Issued in MT

Practice address

2835 Fort Missoula Rd Ste 205
Missoula, MT 59804-7424

Phone

(406) 542-0391

NPI assigned

Apr 16, 2012

Last updated

Mar 22, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1235496209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-542-0391",
            "fax_number": "406-542-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-542-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFINGWELL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MT",
            "license": "NUR-APRN-115785",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MT",
            "license": "RN-46849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376946913",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meaghan M. Lee, LCSW
• Salina Lee, SWLC
• Tessa Lee
• Sarah Ann Leech Berklovich, M.S., CCC-SLP
• Andrea Leeds, PT, DPT, PCS
• Darby Joel Lefler, D.M.D
• Legacy Education and Behavioral Health
• Rustie Chanelle Legarde
• Janna Legg, LCSC, MSW
• Jonnie Leifer, LCSW

• Pediatric Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatric Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.