Individual provider Active NPI

Leah Kay Ehle, APRN

  • Adult Health Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1407086036
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004114 Issued in CT
Practice address
360 Tolland Tpke Ste 2C
Manchester, CT 06042-1770
Phone
(186) 064-3800
Fax
(186) 024-6369
NPI assigned
Jul 16, 2009
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 004114 CT Primary

Addresses

Primary practice location

360 Tolland Tpke Ste 2C
Manchester, CT 06042-1770

Mailing address

85 Seymour St Ste 1000
Hartford, CT 06106-5529
Phone (186) 024-6257

Other names 1

  • Leah Kay Bymater Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004114CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1407086036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 1000",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065529",
            "telephone_number": "186-024-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TPKE STE 2C",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421770",
            "telephone_number": "186-064-3800",
            "fax_number": "186-024-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLE",
        "first_name": "LEAH",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BYMATER",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.