Alicia Diane Leyda, PR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

22-949 Issued in WV

Practice address

408 Tennessee Ave
Charleston, WV 25302-2338

Phone

(304) 549-5158

NPI assigned

Aug 1, 2022

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

State licenses

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1811623838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEIMER AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251773653",
            "telephone_number": "304-549-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TENNESSEE AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022338",
            "telephone_number": "304-549-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDA",
        "first_name": "ALICIA",
        "middle_name": "DIANE",
        "credential": "PR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "22-949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Lewis, MD
• Temeka Dawn Lewis, PHARMD
• Tiffany Lewis
• Wendy Lenora Lewis, LPC
• Dranda Lewus
• Yongchang Li, DO
• Mary Licodo
• Allison Liddle
• Life Touch Transport, LLC
• Jeffry Shobe Life, MD, PHD

• Peer Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.