Active NPI
Jacqueline C. Leonard, C.N.S.
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Weirton, WV
National Provider Identifier
1851751655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- APRN58211CNS
- Practice address
- 485 Colliers Way
Suite C
Weirton, WV 26062 - Phone
- (304) 723-4260
- Fax
- (304) 723-4264
- NPI assigned
- Mar 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | APRN58211CNS | WV | Primary |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 289878 | OH |
Addresses
Primary practice location
485 Colliers Way
Suite C
Weirton, WV 26062
Mailing address
485 Colliers Way
Suite C
Weirton, WV 26062
Phone (304) 723-4260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289878 | OH | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| APRN58211CNS | WV | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prabhjot S Deol, M.D. PLLC | Current | Accepting new patients |
Locations
485 Colliers Way
Ste C
Weirton, WV 26062
Phone (304) 723-4260
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Weirton, WV
- NPI 1659718740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1851751655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 COLLIERS WAY",
"address_2": "SUITE C",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-4260",
"fax_number": "304-723-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 COLLIERS WAY",
"address_2": "SUITE C",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-4260",
"fax_number": "304-723-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JACQUELINE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "C.N.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "WV",
"license": "APRN58211CNS",
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "OH",
"license": "289878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.