Connie S Leese, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

70000185A Issued in IN

Practice address

322 N Main St
Kokomo, IN 46290-4622

Phone

(765) 453-8555

Fax

(765) 453-8020

NPI assigned

Aug 10, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• A Brighter Future, LLC

  • Professional Counselor
  • Fort Wayne, IN
  • NPI 1851672232
  NPD (past)
• Scott a Edwards PHD, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kokomo, IN
  • NPI 1356352991
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1700897360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "462904622",
            "telephone_number": "765-453-8555",
            "fax_number": "765-453-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESE",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "70000185A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600001199",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000846427",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Leckrone, OTR
• Breanna Lynn Lee, FNP
• John Matthew Lee, RBT
• Justin Lee, PHARMD
• Tina Marie Lee
• Legacy Healthcare Services, Inc.
• Aaron Jon Legrand, MD
• Allison Leicht, DPT
• Zoey Leisure
• Alicia Leming, RBT-24-387894

• Clinical Nurse Specialist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.