Active NPI
Tammy Sue Leak, LPN
- Licensed Practical Nurse
- West Chester, OH
National Provider Identifier
1457510570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN102252
- Practice address
- 7390 Rolling Meadows Dr
West Chester, OH 45069-1286 - Phone
- (513) 755-0142
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN102252 | OH | Primary |
Addresses
Primary practice location
7390 Rolling Meadows Dr
West Chester, OH 45069-1286
Mailing address
439 Harrison Avenue
Hamilton, OH 45013-3403
Phone (513) 894-7313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359399 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN102252 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1457510570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 HARRISON AVENUE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450133403",
"telephone_number": "513-894-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7390 ROLLING MEADOWS DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691286",
"telephone_number": "513-755-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAK",
"first_name": "TAMMY",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN102252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2359399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.