Active NPI
Jacqueline Ann Leech I
- Nurse's Aide
- Chicago, IL
National Provider Identifier
1912555194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 6450 W 64TH PL
Chicago, IL 60638-7028 - Phone
- (312) 493-9034
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | IL | Primary |
Addresses
Primary practice location
6450 W 64TH PL
Chicago, IL 60638-7028
Mailing address
6450 W 64TH PL
Chicago, IL 60638-7028
Phone (312) 493-9034
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chicago |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1912555194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 W 64TH PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606387028",
"telephone_number": "312-493-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 W 64TH PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606387028",
"telephone_number": "312-493-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEECH",
"first_name": "JACQUELINE",
"middle_name": "ANN",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Chicago",
"affiliation": "N",
"address_1": "6439 W 63rd St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606384100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.