Keith Alan Leeth Jr., RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.543295 Issued in OH

Practice address

1252 N Bridge St
Chillicothe, OH 45601-1852

Phone

(866) 534-2639

Fax

(800) 480-7578

NPI assigned

Dec 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
  • NPI 1427729474
  NPD (past)
• Sunrise Treatment Center, LLC

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1558844910
  NPD (past)
• Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
  • NPI 1992043053
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1497522817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 STATE ROUTE 220",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619058",
            "telephone_number": "740-600-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011852",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETH",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.168157.MEDS-IV",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.543295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lee, MD
• Yoonji Lee, PHARMD
• Lauren Elizabeth (Lisa) Leedom, R.PH., M.B.A.
• Brian Leeth
• Jeffrey David Leeth
• Candice Lefevre, MBA, AT, ATC
• Legacy Chillicothe Operating Company, LLC
• Regina Jo Legg, RN
• Jonathan Lehman, PSY.D.
• Paula C Leist

• Registered Nurse in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.