Individual provider Active NPI

Kristen Leonard

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1265011696
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
80 Seymour St
Hartford, CT 06106-3315
Phone
(860) 545-5000
NPI assigned
Apr 4, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06106-3315

Mailing address

80 Seymour St
Hartford, CT 06106-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20210809001045 CT Practitioner - Physician Assistant 7719381060 Reassigns benefits to 4 organizations
I20260408002786 CA Practitioner - Physician Assistant 7719381060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923

444 E Roosevelt Rd
Suite 256
Lombard, IL 60148-4630

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Oct 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jul 1, 2022 Accepting new patients
Hartford Hospital CurrentSince Aug 30, 2021 Accepting new patients
State of Connecticut CurrentSince Oct 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jul 1, 2022 Accepting new patients
Hartford Hospital CurrentSince Aug 30, 2021 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

396 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 249-1570

365 Queen St
Ste 4
Southington, CT 06489
Phone (860) 863-5385

Interoperability endpoints

  • Direct secure messaging: kleonard63322@direct.med.uchc.edu
  • Direct secure messaging: kristen.leonard@xdr.hhchealthdirect.org

Organizations & group practices 9

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": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1265011696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063315",
            "telephone_number": "860-545-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.