Kelli Connelly Leonard, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004756 Issued in NC

Practice address

112 Donmoor CT
Garner, NC 27529-2500

Phone

(888) 837-4819

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1346535788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOUTY CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198852",
            "telephone_number": "617-686-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DONMOOR CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292500",
            "telephone_number": "888-837-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KELLI",
        "middle_name": "CONNELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lemontrel Leary
• Katie Scarlett Lee, RN
• Quinandria Lee, LCMHC
• Austin Benedict Lehmann Jr., PA
• Wendy Sue Lehnertz, LMFT
• Susan D Leonard, CRT, RCP
• Tracy Leigh Levy, MS OTR/L
• Laurie Ann Lewis
• William Joshua Lewis, DDS
• LHCG L, LLC

• Family Nurse Practitioner in Garner, NC
• Providers in Garner, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.