Individual provider Active NPI

Kristin Bird Leonard, C.F.N.P.

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1881924124
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF11804 Issued in CA
Practice address
1313 E Herndon Ave Ste 103
Fresno, CA 93720-3306
Phone
(559) 431-7810
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF11804 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave Ste 103
Fresno, CA 93720-3306

Mailing address

10810 Renn Ave
Clovis, CA 93619-9551
Phone (925) 577-5877

Other practice location 1

5601 Norris Canyon Rd
Suite 230
San Ramon, CA 94583-5407
Phone (925) 277-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915002104 CA Practitioner - Nurse Practitioner 1658688288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard S Demera MD IncGroup PAC ID 9032291679, 6 clinicians

Practice addresses (Care Compare)

540 E Herndon Ave
Suite 101
Fresno, CA 93720-2993
Phone (559) 431-0340

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
77.96
Improvement activities
40
Cost
71.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11804CAMDRegistered Nurse
NPF11804CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Demera, M.D. Inc. CurrentSince Aug 23, 2024 Accepting new patients

Locations

540 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-0340

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.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1881924124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 RENN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199551",
            "telephone_number": "925-577-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-431-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Norris Canyon Rd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945835407",
            "country_code": "US",
            "telephone_number": "925-277-1600",
            "fax_number": "925-277-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KRISTIN",
        "middle_name": "BIRD",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF11804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.