Individual provider Active NPI

Katie Elizabeth Leonard, M.D.

  • Pediatrics Physician
  • Conroe, TX
National Provider Identifier
1932455276
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BP10039894 Issued in TX
Practice address
3115 College Park Drive
Suite 104
Conroe, TX 77384-4001
Phone
(936) 321-5030
Fax
(936) 271-5033
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10039894 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X BP10039894 TX

Addresses

Primary practice location

3115 College Park Drive
Suite 104
Conroe, TX 77384-4001

Mailing address

3115 College Park Drive
Suite 104
Conroe, TX 77384-4001
Phone (936) 321-5030

Other names 1

  • Dr. Katie Leonard Cast Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10039894TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray B. Fershtman, M.D. Pediatrics Past Accepting new patients
Wright Pediatrics, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kleonard66166@memorialhermann.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1932455276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DRIVE",
            "address_2": "SUITE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-321-5030",
            "fax_number": "936-271-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DRIVE",
            "address_2": "SUITE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-321-5030",
            "fax_number": "936-271-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10039894",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10039894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CAST",
            "middle_name": "LEONARD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.