Nicole Leahy

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

143 Wiman Ave
Staten Island, NY 10308-3342

Phone

(718) 356-8888

NPI assigned

May 12, 2021

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

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.

• Young Minds Early Enrichment

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1609410117
  NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1770167991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SHARROTT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093315",
            "telephone_number": "347-341-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WIMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083342",
            "telephone_number": "718-356-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Nguyen Le, MD
• Lauren M Leader, CRNA
• James Patrick Leahy Jr., PMHNP-BC
• Kerry M. Leahy, P.A.
• Lauren Leahy, N.D, L.M.T
• Jackie Leaks
• Remilee Escarilla Leano, RPT
• Leanwell
• Leaps and Bounds PT
• Leaps Bounds Pediatric Physical Therapy of North Shore LLC

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.