Leah Grace Gerber, ATC, LAT, MAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001090 Issued in IA

Practice address

1200 Grandview Ave
Des Moines, IA 50316-1529

Phone

(515) 263-6144

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1790299154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SE CAREFREE LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161529",
            "telephone_number": "515-263-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "LEAH",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT, MAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "001090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis ABA Therapy LLC
• Genius Senior Helpers LLC
• Joseph Gentile, DPT
• Taylor Gentz, DO
• Kristopher Lee Gerber, PHARMD
• Elizabeth Darlene Gerdes, LMSW
• Kalee J Gerdes, PA
• Karen J Gerdes, MD
• Lincoln Matthew Geren, O.D.
• Amy Kallista Gerhart, BSN, RN, CNRN

• Athletic Trainer in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.