Roselyn Llanto Leetom

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

1301 Georgia Ave
Fort Pierce, FL 34950-4943

Phone

(305) 331-4227

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1497442909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GEORGIA AVE HOUSE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349501301",
            "telephone_number": "305-331-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GEORGIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504943",
            "telephone_number": "305-331-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETOM",
        "first_name": "ROSELYN",
        "middle_name": "LLANTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Elizabeth Lee, MSW
• Brandon Justh Lee, DOM
• Kathy Lee, MACCCSLP
• Kristin Lee, OTR/L
• Lauren Leeflang
• Jan Legaspi, M.S. CCC-SLP
• Minouche Leger
• Shannon L W Clark Leitenbauer, OD
• James F Leitera, NURSE PRACTITIONER
• Nicola Lemonious

• Attendant Care Provider in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.