Rachel Katherine Anthony Leake

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

19338 Issued in TN

Practice address

1330 Cedar LN Ste 900
Tullahoma, TN 37388-2286

Phone

(931) 455-2674

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1487604609
  Medicare reassignment
• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1639299803
  NPD
• Tullahoma Pediatrics PLLC

  • Pediatrics Physician
  • Tullahoma, TN
  • NPI 1770562142
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1528464211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 WATERBURY PT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214622",
            "telephone_number": "731-612-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN STE 900",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882286",
            "telephone_number": "931-455-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "RACHEL",
        "middle_name": "KATHERINE ANTHONY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "19338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Larue, PHARMD
• Ashley Lashley, DMD
• Madelyn Lattyak, PA-C
• Patricia Ann Lawhorn, RN
• James Edward Lawson, DC
• Connie S Leanza, CRNP
• Ladonna Marie Ledford, NP
• Amber Lee
• Chesleigh Murray Lee, P.T.
• Marcus William Lee, MD

• Pediatric Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.