Individual provider Active NPI

Carol Ann Leckie, RN

  • School Registered Nurse
  • Florence, AZ
National Provider Identifier
1972804714
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN163888 Issued in AZ
Practice address
1000 S Main St
Florence, AZ 85132-8132
Phone
(520) 866-3500
Fax
(520) 868-7354
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN163888 AZ Primary

Addresses

Primary practice location

1000 S Main St
Florence, AZ 85132-8132

Mailing address

PO Box 2850
Florence, AZ 85132-3053
Phone (520) 866-3500

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN163888AZMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Unified School District #1 Past Accepting new patients
Florence Unified School District PastSince Oct 19, 2020 Accepting new patients

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1972804714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323053",
            "telephone_number": "520-866-3500",
            "fax_number": "520-868-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328132",
            "telephone_number": "520-866-3500",
            "fax_number": "520-868-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKIE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN163888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.