Judy Ann Leiseth, N.P.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

54964 Issued in CO

Practice address

3208 N Academy Blvd
Suite 150
Colorado Springs, CO 80917-5161

Phone

(719) 573-1388

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407050859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 COLLINS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203256",
            "telephone_number": "719-264-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N ACADEMY BLVD",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175161",
            "telephone_number": "719-573-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISETH",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "54964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Susan Leindecker
• Haley Pierce-Wheeler Leiner, RDN
• Brian Edward Leininger, M.D.
• Anita Schelble Leis, MD
• Jennifer Leischner
• Wendy Leites, RBT
• Jessica Shanahan Leivers, DPT
• Nicole Leiweke
• Allison Lejeune
• John Leloudis, CRNA

• General Practice Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.