Individual provider Active NPI

Kathryn Alexis Leone, APRN

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1396570206
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13786 Issued in CT
Practice address
622 Hebron Ave
Glastonbury, CT 06033-2421
Phone
(860) 657-3376
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13786 CT Primary

Addresses

Primary practice location

622 Hebron Ave
Glastonbury, CT 06033-2421

Mailing address

28 Second Ave Unit 2
West Haven, CT 06516-5116
Phone (203) 993-5530

Other practice location 1

109 Boston Post Rd
Orange, CT 06477-3235
Phone (203) 891-0655

Other names 1

  • Ms. Kathryn Alexis Hewitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209002041 CT Practitioner - Nurse Practitioner 2466988837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Eastern CT LLCGroup PAC ID 8628020757, 7 clinicians

Practice addresses (Care Compare)

622 Hebron Ave
Suite 107
Glastonbury, CT 06033-5003
Phone (860) 657-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Eastern CT LLC Dermatology CurrentSince Jan 6, 2025 Accepting new patients

Locations

622 Hebron Ave
Ste 101
Glastonbury, CT 06033
Phone (860) 657-3376

622 Hebron Ave
Ste 107
Glastonbury, CT 06033
Phone (860) 657-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1396570206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SECOND AVE UNIT 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165116",
            "telephone_number": "203-993-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-657-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773235",
            "country_code": "US",
            "telephone_number": "203-891-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "KATHRYN",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HEWITT",
            "middle_name": "ALEXIS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.