Individual provider Active NPI

Catherine Leibbrandt Renick, CCLS

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Safety Harbor, FL
National Provider Identifier
1497422877
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
Practice address
328 N Bay Hills Blvd
Safety Harbor, FL 34695-4905
Phone
(813) 400-6697
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X Primary

Addresses

Primary practice location

328 N Bay Hills Blvd
Safety Harbor, FL 34695-4905

Mailing address

328 N Bay Hills Blvd
Safety Harbor, FL 34695-4905

Other names 1

  • Catherine Rachel Leibbrandt Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1497422877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N BAY HILLS BLVD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N BAY HILLS BLVD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954905",
            "telephone_number": "813-400-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENICK",
        "first_name": "CATHERINE",
        "middle_name": "LEIBBRANDT",
        "credential": "CCLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "LEIBBRANDT",
            "middle_name": "RACHEL",
            "credential": "CCLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.