Active NPI
Anne Reynolds Leake, APRN
- Family Nurse Practitioner
- Kaneohe, HI
National Provider Identifier
1801814405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-77
- Practice address
- 45-260 Waikalua Rd.
Suite 101
Kaneohe, HI 96744-3516 - Phone
- (808) 234-5562
- Fax
- (808) 650-5031
- NPI assigned
- Jul 18, 2006
- Last updated
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-77 | HI | Primary |
Addresses
Primary practice location
45-260 Waikalua Rd.
Suite 101
Kaneohe, HI 96744-3516
Mailing address
1301 Punchbowl St.
Clark Apt 411
Honolulu, HI 96713
Phone (808) 691-5309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497190 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanai Community Health Center | Past | Accepting new patients |
Interoperability endpoints
- anne.leake@hawaiihie.medicity.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Lanai City, HI
- NPI 1205413101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1801814405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST.",
"address_2": "CLARK APT 411",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96713",
"telephone_number": "808-691-5309",
"fax_number": "808-691-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-260 WAIKALUA RD.",
"address_2": "SUITE 101",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443516",
"telephone_number": "808-234-5562",
"fax_number": "808-650-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAKE",
"first_name": "ANNE",
"middle_name": "REYNOLDS",
"name_prefix": "Dr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-77",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497190",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.