Individual provider Active NPI

Karen Elizabeth Leroy, EDD, MSN, CPNP, PMHS

  • Pediatric Nurse Practitioner
  • Derby, VT
National Provider Identifier
1801959465
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
101.0132406 Issued in VT
Practice address
1035 US Route 5 Unit 6
Derby, VT 05829-9818
Phone
(802) 624-6696
NPI assigned
Dec 18, 2006
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 101.0132406 VT Primary

Addresses

Primary practice location

1035 US Route 5 Unit 6
Derby, VT 05829-9818

Mailing address

PO Box 356
Derby, VT 05829-0356
Phone (802) 624-6696

Other practice location 1

121 Duchess Ave Ste A
Newport, VT 05855
Phone (802) 334-5847 ext. 2045

Other practice location 2

1518 Girard Blvd NE
Albuquerque, NM 87106-1823
Phone (505) 266-3835

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
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0132406VTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Supervisory Union PastSince Nov 24, 2025 Accepting new patients
Allison Curtis Kingsley Meoz Michael & Sanchez PC Past Accepting new patients

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1801959465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058290356",
            "telephone_number": "802-624-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 US ROUTE 5 UNIT 6",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058299818",
            "telephone_number": "802-624-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Duchess Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "05855",
            "country_code": "US",
            "telephone_number": "802-334-5847 x2045",
            "fax_number": "802-334-5952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 Girard Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871061823",
            "country_code": "US",
            "telephone_number": "505-266-3835",
            "fax_number": "505-266-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROY",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "EDD, MSN, CPNP, PMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101.0132406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.