Patricia S Leckenby, ARNP

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

AP30001796 Issued in WA

Practice address

1120 8TH Ave
#502
Seattle, WA 98101-2792

Phone

(206) 749-0098

NPI assigned

Jun 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Edith Surowiecki Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sea Mar Community Health Centers

  dba Sea Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170
  Medicare reassignment NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Des Moines, WA
  • NPI 1326316142
  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942403506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 8TH AVE",
            "address_2": "#502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012792",
            "telephone_number": "206-749-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 8TH AVE",
            "address_2": "#502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012792",
            "telephone_number": "206-749-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKENBY",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WA",
            "license": "AP30001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SUROWIECKI",
            "middle_name": "EDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnny Lee Lebord, M.P.
• Evan Lebow-Wolf, LMP, EAMP
• E. Houston Lebrun, LMP
• Nicolae Leca
• Terri A. Lechnyr, PH.D., LCSW
• John H Lecky
• Angela Carroll Leclair, N.D.
• Harriet W. Leclair, ARNP
• Dion Marek Leclaire, RN
• Veronique Lecocq, LMHCA

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.