Individual provider Active NPI

Brittany Leach, CNM

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1366819609
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM0286 Issued in MN
Practice address
624 Smith Ave S
Saint Paul, MN 55107
Phone
(651) 689-3988
Fax
(612) 224-9622
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R2301927 MN
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X CNM0286 MN Primary

Addresses

Primary practice location

624 Smith Ave S
Saint Paul, MN 55107

Mailing address

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Other practice location 1

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Other practice location 2

624 Smith Ave S
Saint Paul, MN 55107
Phone (651) 689-3988

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM0286MNMDAdvanced Practice Midwife
R2301927MNMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1366819609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SMITH AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55107",
            "telephone_number": "651-689-3988",
            "fax_number": "612-224-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073706",
            "country_code": "US",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 Smith Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55107",
            "country_code": "US",
            "telephone_number": "651-689-3988",
            "fax_number": "612-224-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "BRITTANY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R2301927",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNM0286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.