Enrique Leonardo III, CDCES

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1216 E Hunting Park Ave
Philadelphia, PA 19124-4928

Phone

(215) 533-1333

Fax

(215) 744-4324

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1497486419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928",
            "telephone_number": "215-533-1333",
            "fax_number": "215-744-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928",
            "telephone_number": "215-533-1333",
            "fax_number": "215-744-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "ENRIQUE",
        "name_suffix": "III",
        "credential": "CDCES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Leonard, RD
• Susanna Leonard, D.O.
• Theresa M. Leonard, CRNA
• Thomas P. Leonard, O.D.
• Tyler Leonard
• Amanda Kae Leonberg-Yoo, MD
• Anna Leone, MD
• Annemarie M Leone, CRNP
• Donna Ann Leone, CRNP
• Frank T Leone, MD

• Health & Wellness Coach in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Health & Wellness Coach in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.