Individual provider Active NPI

Anne Reynolds Leake, APRN

  • Family Nurse Practitioner
  • Kaneohe, HI
National Provider Identifier
1801814405
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-77 Issued in HI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 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

IdentifierTypeStateIssuer
497190MedicaidHI

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

OrganizationSpecialtyStatusNew patients
Lanai Community Health Center PastSince Mar 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.