Active NPI
Kathleen Leavy, MD
- Anesthesiology Physician
- Denver, CO
National Provider Identifier
1962477372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24714
- Practice address
- 455 Sherman St
Ste 510
Denver, CO 80203-4400 - Phone
- (303) 377-6825
- Fax
- (303) 780-0787
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24714 | CO | Primary |
Addresses
Primary practice location
455 Sherman St
Ste 510
Denver, CO 80203-4400
Mailing address
8000 E Maplewood Ave
BLDG 5 Ste 200
Greenwood Village, CO 80111-4727
Phone (303) 438-3999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1247147 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24714 | CO | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1962477372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE",
"address_2": "BLDG 5 STE 200",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114727",
"telephone_number": "303-438-3999",
"fax_number": "720-439-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SHERMAN ST",
"address_2": "STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802034400",
"telephone_number": "303-377-6825",
"fax_number": "303-780-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVY",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "24714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1247147",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.