Individual provider Active NPI

Patricia Elizabeth Leads, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Carpinteria, CA
National Provider Identifier
1922358654
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11520 Issued in CA
Practice address
5970 Hickory St Apt 4
Carpinteria, CA 93013-2731
Phone
(805) 680-4751
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 11520 CA Primary

Addresses

Primary practice location

5970 Hickory St Apt 4
Carpinteria, CA 93013-2731

Mailing address

5970 Hickory St Apt 4
Carpinteria, CA 93013-2731
Phone (805) 680-4751

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
I20240510002545 CA Practitioner - Nurse Practitioner 0042532525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Integrated Care IncGroup PAC ID 6608788435, 4 clinicians

Practice addresses (Care Compare)

3470 Buskirk Ave
Pleasant Hill, CA 94523-4316
Phone (925) 887-5678

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Integrated Care, Inc CurrentSince Mar 6, 2024 Accepting new patients
Bay Area Rehab & Medical PastSince Mar 14, 2020 Accepting new patients

Locations

3470 Buskirk Ave
Pleasant Hill, CA 94523
Phone (925) 887-5678

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1922358654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 HICKORY ST APT 4",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132731",
            "telephone_number": "805-680-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 HICKORY ST APT 4",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132731",
            "telephone_number": "805-680-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADS",
        "first_name": "PATRICIA",
        "middle_name": "ELIZABETH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpinteria, CA

Sources for this page

Verify at the official NPI Registry.