Individual provider Active NPI

Leighann Leckey, PA

  • Medical Physician Assistant
  • Summerhill, PA
National Provider Identifier
1760762553
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051658 Issued in PA
Practice address
1125 Evergreen Rd
Summerhill, PA 15958-5018
Phone
(814) 472-8052
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051658 PA Primary

Addresses

Primary practice location

1125 Evergreen Rd
Summerhill, PA 15958-5018

Mailing address

1125 Evergreen Road
Summerhill, PA 15958
Phone (814) 472-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170103000316 CO Practitioner - Physician Assistant 7315228558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051658PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Nov 12, 2016 Accepting new patients

Locations

2635 N 7th St
Fl 6
Grand Junction, CO 81501
Phone (970) 298-2279

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1760762553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 EVERGREEN ROAD",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "15958",
            "telephone_number": "814-472-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 EVERGREEN RD",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "159585018",
            "telephone_number": "814-472-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKEY",
        "first_name": "LEIGHANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerhill, PA

Sources for this page

Verify at the official NPI Registry.