Leah Kathleen Bond
Individual provider Active NPI Adult Health Clinical Nurse Specialist · Rolla, MO
NPI 1629460878 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1629460878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Clinical Nurse Specialist 364SA2200X
- License
- 2014038710 (MO)
- Practice address
- 600 Blues Lake Pkwy
Rolla, MO 65401-8022 - Phone
- (573) 364-8822
- Fax
- (573) 341-5969
- NPI assigned
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014038710 | MO | MD | Adult Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 2014043711 | MO | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 2014038710 | MO | Yes |
Addresses
Primary practice location
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Mailing address
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone (573) 364-8822
Other names
- Leah Kathleen Chmielewski
Other providers in Rolla, MO
- Madison Bogart
- Annie Elizabeth Boggs
- Cathy Bond
- Donna K Bond
- Joseph C Bond Jr.
- Paula G Bonney
- Charles Boone
- Brittany L Boren
- Aislinn C Bos
- Elliotte Schafer Bourne
All providers in Rolla, MO · Adult Health Clinical Nurse Specialist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.