Tracy Kyle Leavitt, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

0701 Issued in NV

Practice address

68 N Pecos Rd
Ste a
Henderson, NV 89074-7339

Phone

(702) 456-1441

Fax

(702) 456-3901

NPI assigned

Oct 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: affiliatedpodiatry.tracyleavitt@160021.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliated Podiatry LLC

  • Podiatrist
  • Henderson, NV
  • NPI 1073967022
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dr. Leon R. Noorda

  • Podiatric Clinic/Center
  • Las Vegas, NV
  • NPI 1912199506
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1851543557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N PECOS RD",
            "address_2": "STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747339",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N PECOS RD",
            "address_2": "STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747339",
            "telephone_number": "702-456-1441",
            "fax_number": "702-456-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "TRACY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "0701",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leavitt Medical Associates of Nevada PC
• Leavitt Physical Therapy, PLLC
• Autumn Leavitt, OMD
• Bryce D Leavitt, DMD, MD
• Jeffrey Paul Leavitt, PT, DPT
• Diana Leblanc, MD
• Julie Anne Leblanc, MS, OTR/L
• Diann Lebsack
• Ashley Ledford
• Alicia Lee, PA-C

• Primary Podiatric Medicine Podiatrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Primary Podiatric Medicine Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.