Active NPI
Brittany Leach, CNM
- Advanced Practice Midwife
- Saint Paul, MN
National Provider Identifier
1366819609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM0286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CNM0286 | MN | MD | Advanced Practice Midwife |
| R2301927 | MN | MD | Advanced 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.