Individual provider Active NPI

Katherine Mary Leidner, RN

  • Case Management Registered Nurse
  • Mission, TX
National Provider Identifier
1285909663
Registry record updated Mar 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
525835 Issued in TX
Practice address
2121 E Griffin Pkwy
Ste 3
Mission, TX 78572-3241
Phone
(956) 928-0167
Fax
(956) 600-7240
NPI assigned
Mar 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 525835 TX Primary

Addresses

Primary practice location

2121 E Griffin Pkwy
Ste 3
Mission, TX 78572-3241

Mailing address

2121 E Griffin Pkwy
Ste 3
Mission, TX 78572-3241
Phone (956) 928-0167

Other identifiers 1

IdentifierTypeStateIssuer
024363601MedicaidTX

Other names 1

  • Ms. Katherine Mary Leidner Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
525835TXMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332028800000",
    "number": "1285909663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY",
            "address_2": "STE 3",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723241",
            "telephone_number": "956-928-0167",
            "fax_number": "956-600-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY",
            "address_2": "STE 3",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723241",
            "telephone_number": "956-928-0167",
            "fax_number": "956-600-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDNER",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-18",
        "last_updated": "2012-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "525835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024363601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LEIDNER",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.