Active NPI
Casandra Mariet Leonard, CFNP
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1891915286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13969
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (360) 660-5259
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13969 | CA | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
18806 SE 12TH Way
Vancouver, WA 98683-9646
Phone (360) 660-5259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60666138 | Other | WA | WASHINGTON STATE ADVANCED REGISTERED NURSE PRACTITIONER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | casandra.leonard@optum.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housecall Doctors Medical Group Inc | Past | Accepting new patients |
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1891915286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18806 SE 12TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839646",
"telephone_number": "360-660-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "360-660-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CASANDRA",
"middle_name": "MARIET",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "13969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE ADVANCED REGISTERED NURSE PRACTITIONER LICENSE",
"identifier": "AP60666138",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "casandra.leonard@optum.com",
"affiliation": "N",
"address_1": "18806 SE 12th Way",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.