Melody J Leidy, CNA
Individual provider Active NPI Nurse's Aide · Brier, WA
NPI 1245648997 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1245648997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NC10093355 (WA)
- Practice address
- 23799 27TH PL W
Brier, WA 98036-8477 - Phone
- (206) 291-5777
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC10093355 | WA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC10093355 | WA | Yes |
Addresses
Primary practice location
23799 27TH PL W
Brier, WA 98036-8477
Mailing address
PO Box 3810
Everett, WA 98213-8810
Other providers in Brier, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.