Marsha Leake, VICE PRESIDENT

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

5724 Stage Rd Ste F
Bartlett, TN 38134-4572

Phone

(901) 383-0417

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Senior Enhancement Center

  • Adult Day Care Clinic/Center
  • Bartlett, TN
  • NPI 1053811398
  NPD (past) Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1407366362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 ORANGE TULIP DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381350749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 STAGE RD STE F",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344572",
            "telephone_number": "901-383-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "MARSHA",
        "credential": "VICE PRESIDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Larrabee, LPC
• Kashif A Latif, M.D.
• Bailey Lawrence, PHARMD
• Leader Physical Therapy Limited Partnership (Memphis Physical Therapy)
• Leader Physical Therapy Limited Partnership (Memphis Physical Therapy)
• Charles Leatherwood
• Aidan Lee
• Katy Leech, LPC-MHSP
• Lauren Elizabeth Lefler, DO
• Linda Fay Lemon, FNP

• Adult Day Care Clinic/Center in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Adult Day Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.