Leap Pediatric and Adolescent Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LEAP PEDIATRIC AND ADOLESCENT CARE

Practice address

1747 Summit Ave
Saint Paul, MN 55105-1833

Phone

(651) 242-2849

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Julia Joseph-Di Caprio, MDNPI 1164433454

Title

President and Founder

Phone

(651) 242-2849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia P Joseph-Di Caprio, MD, MPH

  • Pediatrics Physician
  • Saint Paul, MN
  • NPI 1164433454
  Medicare reassignment NPD Authorized official
• Peter Benjamin Scal, MD

  • Pediatrics Physician
  • Minneapolis, MN
  • NPI 1619077484
  Medicare reassignment NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1457082919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051833",
            "telephone_number": "651-242-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051833",
            "telephone_number": "651-242-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP PEDIATRIC AND ADOLESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "JOSEPH-DI CAPRIO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT AND FOUNDER",
        "authorized_official_telephone_number": "651-242-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica E Leadholm, MSCFYSLP
• Jennifer Leafblad, LICSW
• Jessica Kay Leagjeld, PT
• Dennis M Leahy, M.D.
• Sara Leahy, LICSW
• Meredith Leary Johnson, CMT, LMT
• Laura Leatherman, CNM
• Leatrice Mankin Sherer, PH.D., P.L.L.C.
• Jeremy Derrell Leavell, DNP APRN CRNA
• Kyley M Lebens, DDS

• Primary Care Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.