Active NPI
Leigh Kathleen Ash, RDMS, RVT
- Mastectomy Fitter
- Lakeland, FL
National Provider Identifier
1497589303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Practice address
- 6713 Englelake Dr
Lakeland, FL 33813-3772 - Phone
- (863) 412-5740
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 143271 | FL | |
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
6713 Englelake Dr
Lakeland, FL 33813-3772
Mailing address
6713 Englelake Dr
Lakeland, FL 33813-3772
Phone (863) 412-5740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143271 | FL | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1497589303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6713 ENGLELAKE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133772",
"telephone_number": "863-412-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6713 ENGLELAKE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133772",
"telephone_number": "863-412-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASH",
"first_name": "LEIGH",
"middle_name": "KATHLEEN",
"credential": "RDMS, RVT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "143271",
"primary": false
},
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.