Kerry Ellen Leonard, LPT, CPRP

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT30252 Issued in CA

Practice address

2677 Zoe Ave Ste 304
Huntington Park, CA 90255-3699

Phone

(310) 772-9738

NPI assigned

Mar 28, 2007

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Kerry Kile Former name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1396864856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE STE 304",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553699",
            "telephone_number": "310-772-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE STE 304",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553699",
            "telephone_number": "310-772-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KERRY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LPT, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT30252",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "NA",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "SPBGQWKMOZRYCHFE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "KILE",
            "prefix": "MISS",
            "credential": "LPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Leonard Lee, PHARMD
• William Byunghak Lee, RPH
• Estela Lemus, NP-BC
• Grace Leon
• Sarai Leon, RN
• Lighthouse Medical Management, Inc
• Lili Mirtorabi D.D.S., a Professional Corporation
• Gustavo Limas
• Dianne Lin
• Erica Stacy Linares, SLPA

• Licensed Psychiatric Technician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.