Constance Leake

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

615965 Issued in CA

Practice address

2841 Martin Luther King Jr Ave
Richmond, CA 94804-4021

Phone

(855) 883-7325

NPI assigned

Aug 23, 2020

Last updated

Aug 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1760094445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 MARTIN LUTHER KING JR AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948044021",
            "telephone_number": "855-883-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 MARTIN LUTHER KING JR AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948044021",
            "telephone_number": "855-883-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "615965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Lawlor, M.S. CCC-SLP
• James B. Lawrence, MD
• Tram Quynh Le-Nguyen, LCSW
• Nhung Thi Le, RD
• Phuong Thi Le
• Uriel Leal Flores
• Mauricio Xavier Leal
• Cid Antonio Leanos
• Cianna Leatherwood, MD
• Karen Lebeau-Montalvan

• Prosthetics Case Management in Richmond, CA
• Providers in Richmond, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.