Active NPI
Sandra Leicht, APNP
- Family Nurse Practitioner
- Kenosha, WI
National Provider Identifier
1497935357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3199-33
- Practice address
- 8600 Sheridan Rd
Kenosha County Division of Health
Kenosha, WI 53143-6506 - Phone
- (262) 605-6700
- NPI assigned
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3199-33 | WI | Primary |
Addresses
Primary practice location
8600 Sheridan Rd
Kenosha County Division of Health
Kenosha, WI 53143-6506
Mailing address
8600 Sheridan Rd
Kenosha County Division of Health
Kenosha, WI 53143-6506
Phone (262) 605-6700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3199-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJM Management Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Kenosha, WI
- NPI 1477197192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488067200000",
"number": "1497935357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 SHERIDAN RD",
"address_2": "KENOSHA COUNTY DIVISION OF HEALTH",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531436506",
"telephone_number": "262-605-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 SHERIDAN RD",
"address_2": "KENOSHA COUNTY DIVISION OF HEALTH",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531436506",
"telephone_number": "262-605-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICHT",
"first_name": "SANDRA",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2017-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "3199-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.