Individual provider Active NPI

Dallas Leonard, ANP

  • Nurse Practitioner
  • N Dartmouth, MA
National Provider Identifier
1316949407
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
212247 Issued in MA
Practice address
39 Faunce Corner Rd
N Dartmouth, MA 02747-4202
Phone
(508) 996-3311
Fax
(508) 996-3674
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 212247 MA Primary

Addresses

Primary practice location

39 Faunce Corner Rd
N Dartmouth, MA 02747-4202

Mailing address

39 Faunce Corner Rd
N Dartmouth, MA 02747-4202
Phone (508) 996-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000893 MA Practitioner - Nurse Practitioner 7719923630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Physicians CorporationGroup PAC ID 0244518454, 28 clinicians

Practice addresses (Care Compare)

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-7215

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
212247MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth Medical Walk in PC III Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dleonard13000@direct.southcoast.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1316949407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027474202",
            "telephone_number": "508-996-3311",
            "fax_number": "508-996-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027474202",
            "telephone_number": "508-996-3311",
            "fax_number": "508-996-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "DALLAS",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "212247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.