Keely Leak

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

600 University Ave Ste 2B
Fairbanks, AK 99709-3651

Phone

(907) 371-2240

NPI assigned

Feb 21, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1881490696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E 74TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072614",
            "telephone_number": "907-929-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY AVE STE 2B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093651",
            "telephone_number": "907-371-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAK",
        "first_name": "KEELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lawson
• Yvonne Lawson
• Anthony Lawsonq
• Philip Lazzaro
• Molly Leahy, L.P.C.
• Crystal Leake, LPC
• Leap Inc
• Barbara Ann Leder
• Stevie Janae Ledermann
• Timothy Ledna, NCC

• Day Training/Habilitation Specialist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Day Training/Habilitation Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.