Individual provider Active NPI

Tracie Jean Leonhardt, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Largo, FL
National Provider Identifier
1588601751
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS6672 Issued in FL
Practice address
1120 Belcher Rd S
Suite 2
Largo, FL 33771-3315
Phone
(727) 826-0838
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS6672 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X OS6672 FL Primary

Addresses

Primary practice location

1120 Belcher Rd S
Suite 2
Largo, FL 33771-3315

Mailing address

1120 Belcher Rd S
Suite 2
Largo, FL 33771-3315
Phone (727) 826-0838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 30, 2018 through Nov 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Maritime ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Sunshine City Emergency Physicians Emergency Medicine Past Accepting new patients
Metabolic Medical Center, LLC Past Accepting new patients
Russell Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Brodrick ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1588601751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BELCHER RD S",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713315",
            "telephone_number": "727-826-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BELCHER RD S",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713315",
            "telephone_number": "727-826-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "TRACIE",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS6672",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "OS6672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.