Ammie Michelle Leachman, NP

Primary specialty

High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X

License

2015007419 Issued in MO

Practice address

4251 Forest Park Ave
Saint Louis, MO 63108-2810

Phone

(713) 534-7750

Fax

(314) 648-2625

NPI assigned

Jun 1, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1639745508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 KNOLLWAY DR",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351405",
            "telephone_number": "314-484-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 FOREST PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082810",
            "telephone_number": "713-534-7750",
            "fax_number": "314-648-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACHMAN",
        "first_name": "AMMIE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "MO",
            "license": "2015007419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PPSLR",
            "affiliation": "N",
            "address_1": "4251 Forest Park Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• David Michael Leander, MD

• High-Risk Obstetric Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• High-Risk Obstetric Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.