Tety Leonardi, PA-C, LD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA07936 Issued in TX

Practice address

2110 Hollow Way
Garland, TX 75041-2186

Phone

(254) 421-2502

NPI assigned

Feb 8, 2007

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1528108339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HOLLOW WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412186",
            "telephone_number": "254-421-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HOLLOW WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412186",
            "telephone_number": "254-421-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDI",
        "first_name": "TETY",
        "credential": "PA-C, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07936",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeshewaget Legesse
• Isabella Legezu, APRN
• Cody Legg, A.T.C., L.A.T.
• Norma Soto Lehman, DDS
• Gina Marie Leon-Rodriguez, LCSW
• Leone Homehealth Care Agency Inc. (A4Z Home Health Care)
• Leslie B. Kuerbitz,Ma,LPC,&Associates,PLLC
• Amy Lewis, D.C.
• Erica Lewis, LPC ASSOCIATE
• Jack William Lewis, DDS

• Medical Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.