Individual provider Active NPI

Martha Rose Leonard, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1417123902
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN00343 Issued in RI
Practice address
1 Commerce St Ste 100
Lincoln, RI 02865-1186
Phone
(401) 793-8484
Fax
(401) 793-8481
NPI assigned
May 5, 2008
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN00343 RI Primary

Addresses

Primary practice location

1 Commerce St Ste 100
Lincoln, RI 02865-1186

Mailing address

75 Scenic Dr
Warwick, RI 02886-2126
Phone (401) 480-8275

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martha.leonard.1@10.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20141125000323 RI Practitioner - Nurse Practitioner 7214188671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Doctor of Medicine, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Coastal Medical Physicians, Inc. Pediatrics CurrentSince Aug 7, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 200
East Providence, RI 02914
Phone (401) 421-6481

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

Interoperability endpoints

  • Direct secure messaging: mleonard221062@brownhealth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1417123902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SCENIC DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862126",
            "telephone_number": "401-480-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651186",
            "telephone_number": "401-793-8484",
            "fax_number": "401-793-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "MARTHA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "RI",
            "license": "APRN00343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martha.leonard.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1 Commerce St Ste 100",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.