Individual provider Active NPI

Jennifer Brown Leonard, NP-C

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1649538463
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1577A Issued in ID
Practice address
2235 E Gala St
Meridian, ID 83642-8026
Phone
(208) 887-3724
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-1577A ID Primary
Critical Care Medicine Registered Nurse 163WC0200X N-36631 ID

Addresses

Primary practice location

2235 E Gala St
Meridian, ID 83642-8026

Mailing address

2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 887-3724

Other practice location 1

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702

Other practice location 2

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-1702

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Boise Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20150721000703 ID Practitioner - Nurse Practitioner 5496998676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 489-1431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N-36631IDMDCritical Care Medicine Registered Nurse
NP-1577AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Gastroenterology Associates, LLP Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Locations

425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702

875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458

2235 E Gala St
Meridian, ID 83642
Phone (208) 489-1431

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

1216 Garrity Blvd
Nampa, ID 83687
Phone (208) 342-7169

Interoperability endpoints

  • Direct secure messaging: jenniferleonard@igallp.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1649538463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428026",
            "telephone_number": "208-887-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428026",
            "telephone_number": "208-887-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026035",
            "country_code": "US",
            "telephone_number": "208-343-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Garrity Blvd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873402",
            "country_code": "US",
            "telephone_number": "208-343-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JENNIFER",
        "middle_name": "BROWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1577A",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ID",
            "license": "N-36631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boise",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boise",
            "address_1": "425 W Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837026035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.