Leah C. Clemence, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

26629 Richard Dr
Wind Lake, WI 53185-1345

Phone

(262) 895-2058

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1972647113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26629 RICHARD DR",
            "city": "WIND LAKE",
            "state": "WI",
            "postal_code": "531851345",
            "telephone_number": "262-895-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26629 RICHARD DR",
            "city": "WIND LAKE",
            "state": "WI",
            "postal_code": "531851345",
            "telephone_number": "262-895-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENCE",
        "first_name": "LEAH",
        "middle_name": "C.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35011900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affinity Health Care LLC
• Affinity Health Care LLC
• Kimberly Banach
• Amy L Bluhm
• Erik R Burtraw, COTA
• Melissa Mary Fitzgerald
• Makenzi Gordon, COTA
• Denise L Holterman, OT
• Korine Ann Labodda, OTR
• Anne Marie Leidel, RN

• Registered Nurse in Wind Lake, WI
• Providers in Wind Lake, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.