Active NPI
Daniel Patrick Leach-St.Germain
- Nurse Practitioner
- Fall River, MA
National Provider Identifier
1427650746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2286547
- Practice address
- 363 Highland Ave
Fall River, MA 02720-3703 - Phone
- (508) 679-3131
- NPI assigned
- Nov 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2286547 | MA | Primary |
Addresses
Primary practice location
363 Highland Ave
Fall River, MA 02720-3703
Mailing address
143 Howland Rd
Lakeville, MA 02347-2275
Phone (508) 523-7024
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
- Credentials
- Nurse Practitioner
Interoperability endpoints
- dleachstgermain15760@direct.southcoast.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1427650746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 HOWLAND RD",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023472275",
"telephone_number": "508-523-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203703",
"telephone_number": "508-679-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH-ST.GERMAIN",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2286547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.