Active NPI
Charlotte Randolph Leonard, MS CCCA
- Audiologist
- Raleigh, NC
National Provider Identifier
1275501025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2357
- Practice address
- 3820 Ed Dr
Raleigh, NC 27612-8037 - Phone
- (919) 782-9003
- Fax
- (919) 782-9303
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2357 | NC | Primary |
Addresses
Primary practice location
3820 Ed Dr
Raleigh, NC 27612-8037
Mailing address
3820 Ed Dr
Raleigh, NC 27612-8037
Phone (919) 782-9003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001501 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2357 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1275501025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 ED DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128037",
"telephone_number": "919-782-9003",
"fax_number": "919-782-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 ED DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128037",
"telephone_number": "919-782-9003",
"fax_number": "919-782-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CHARLOTTE",
"middle_name": "RANDOLPH",
"credential": "MS CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "2357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001501",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.