Individual provider Active NPI

Patricia Ann Leask, R.N.

  • Registered Nurse
  • Riverhead, NY
National Provider Identifier
1336676659
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
595987-1 Issued in NY
Practice address
300 Center Drive Suite 250
Methadone Clinic Department of Mental Health
Riverhead, NY 11901
Phone
(631) 852-2683
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 595987-1 NY Primary

Addresses

Primary practice location

300 Center Drive Suite 250
Methadone Clinic Department of Mental Health
Riverhead, NY 11901

Mailing address

300 Center Drive Ste. 250
Department of Mental Health
Riverhead, NY 11901

Other names 1

  • Mrs. Patricia Ann Gerrity 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
595987-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1336676659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DRIVE STE. 250",
            "address_2": "DEPARTMENT OF MENTAL HEALTH",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DRIVE SUITE 250",
            "address_2": "METHADONE CLINIC DEPARTMENT OF MENTAL HEALTH",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-852-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "595987-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GERRITY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.