Active NPI
Sandra Leigh
- Social Worker
- Cedar Rapids, IA
National Provider Identifier
1477203453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112713
- Practice address
- 5020 Gordon Ave NW
Cedar Rapids, IA 52405-3307 - Phone
- (505) 306-4642
- NPI assigned
- Mar 24, 2022
- Last updated
- Mar 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112713 | IA | Primary |
Addresses
Primary practice location
5020 Gordon Ave NW
Cedar Rapids, IA 52405-3307
Mailing address
5020 Gordon Ave NW
Cedar Rapids, IA 52405-3307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724000627 | SD | Practitioner - Clinical Social Worker | 7810360468 | Practice locations: Rapid City, SD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1477203453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 GORDON AVE NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 GORDON AVE NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053307",
"telephone_number": "505-306-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIGH",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "112713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.