Individual provider Active NPI

Kelly J Leonard, APN, BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1760647747
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013476 Issued in TN
Practice address
3294 Poplar Ave Ste 100
Memphis, TN 38111-4649
Phone
(901) 362-8671
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000013476 TN Primary

Addresses

Primary practice location

3294 Poplar Ave Ste 100
Memphis, TN 38111-4649

Mailing address

3294 Poplar Ave Ste 100
Memphis, TN 38111-4649
Phone (901) 362-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081016000403 TN Practitioner - Nurse Practitioner 2567520786 Reassigns benefits to 6 organizations
I20160111001404 MS Practitioner - Nurse Practitioner 2567520786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Branch Emergency Physicians LLCGroup PAC ID 9335598739, 27 clinicians

Practice addresses (Care Compare)

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013476TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC CurrentSince Nov 1, 2015 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 1, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Redmed, LLC CurrentSince Feb 15, 2021 Accepting new patients
T M Carr MD PC CurrentSince Apr 1, 2020 Accepting new patients
Redmed, LLC CurrentSince Feb 15, 2021 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Memphis Internists, LLC Past Accepting new patients
Methodist Emergency Physicians PLLC Past Accepting new patients

Locations

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

5389 Airline Rd
Arlington, TN 38002
Phone (901) 209-4978

11611 Highway 51 S
Atoka, TN 38004
Phone (901) 842-1760

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: kleonard28611@mlh.direct-ci.com

Organizations & group practices 11

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 1

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1760647747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-362-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-362-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "APN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.