Heather Leonardy, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Juneau, AK
NPI 1366987299 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1366987299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 162668 (AK)
- Practice address
- 3406 Glacier Hwy
Juneau, AK 99801-7251 - Phone
- (907) 463-3303
- NPI assigned
- Jan 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Retreat
Practice addresses (Care Compare)
22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190409001395 | FL | Practitioner - Nurse Practitioner | 9830430446 | Reassigns benefits to 1 organization |
| I20230317001054 | VT | Practitioner - Nurse Practitioner | 9830430446 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9344822 | FL | MD | General Practice Registered Nurse |
| 162668 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Current |
Accepting new patients | |
| Sma Healthcare Inc | Current |
Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700
1 Anna Marsh Ln
Dummerston, VT 05301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | ARNP9344822 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9344822 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 162668 | AK | Yes |
Addresses
Primary practice location
3406 Glacier Hwy
Juneau, AK 99801-7251
Mailing address
52 Grove Ave
Saint Augustine, FL 32084-3256
Phone (904) 615-7669
Other providers in Juneau, AK
- Jackqueline Ann Leight
- Tracy Leithauser
- Veronica Lekanof
- Nancy Ann Lennon
- Kenia Mercedes Leon
- Jason Lescelius
- Michael Noel Lessard
- Jordan Silas Lewis
- Joshua Lewis
- Sarah Reed-Palmer Lewis
All providers in Juneau, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.