Individual provider Active NPI

Susan D Leonard, CRT, RCP

  • Certified Respiratory Therapist
  • Garner, NC
National Provider Identifier
1902194962
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
A 4248 Issued in NC
Practice address
343 Technology Dr
Suite 1110
Garner, NC 27529-7949
Phone
(919) 780-5900
Fax
(919) 780-5905
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X A 4248 NC Primary
Pulmonary Diagnostics Certified Respiratory Therapist 2278P1004X

Addresses

Primary practice location

343 Technology Dr
Suite 1110
Garner, NC 27529-7949

Mailing address

343 Technology Dr
Suite 1110
Garner, NC 27529-7949
Phone (919) 780-5900

Other identifiers 1

IdentifierTypeStateIssuer
4248OtherNCNORTH CAROLINA RESPIRATORY CARE BOARD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A 4248NCMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ez Diagnostics, Inc. Pulmonary Diagnostics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1902194962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 TECHNOLOGY DR",
            "address_2": "SUITE 1110",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297949",
            "telephone_number": "919-780-5900",
            "fax_number": "919-780-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 TECHNOLOGY DR",
            "address_2": "SUITE 1110",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297949",
            "telephone_number": "919-780-5900",
            "fax_number": "919-780-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CRT, RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NC",
            "license": "A 4248",
            "primary": true
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA RESPIRATORY CARE BOARD",
            "identifier": "4248",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.