Keonia Leake

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

666370 Issued in NY

Practice address

35 Brooklyn Ave
Wyandanch, NY 11798-3811

Phone

(347) 664-4657

NPI assigned

Jun 2, 2008

Last updated

Jul 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1376702712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROOKLYN AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983811",
            "telephone_number": "347-664-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BROOKLYN AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983811",
            "telephone_number": "347-664-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KEONIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "666370",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290253-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asriel King
• Tracey A King
• Dora Mae Kittles
• Donna Klein, LMSW
• Leticia Langdet
• Samantha Lester, LMSW
• Arthur Calica Liclican, MD
• Linda Pressley
• Data Longjohn, MD
• Loving Arms Inc.

• Registered Nurse in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.