Individual provider Active NPI

Danielle Katherine Leeds, RN

  • Registered Nurse
  • Havre, MT
National Provider Identifier
1730918269
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
74676 Issued in MT
Practice address
24 Spruce Dr
Havre, MT 59501-5461
Phone
(406) 945-2759
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 74676 MT Primary

Addresses

Primary practice location

24 Spruce Dr
Havre, MT 59501-5461

Mailing address

24 Spruce Dr
Havre, MT 59501-5461
Phone (406) 945-2759

Other practice location 1

Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521
Phone (406) 395-4486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
74676MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1730918269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SPRUCE DR",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015461",
            "telephone_number": "406-945-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SPRUCE DR",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015461",
            "telephone_number": "406-945-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Rocky Boy Health Center",
            "address_2": "6850 Upper Box Elder Rd",
            "address_purpose": "LOCATION",
            "city": "Box Elder",
            "state": "MT",
            "postal_code": "59521",
            "country_code": "US",
            "telephone_number": "406-395-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "DANIELLE",
        "middle_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "74676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.