NIESHA LEAKS (NPI# 1073983706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073983706 |
| Entity Type | Individual |
| Full Name | NIESHA LEAKS |
| Practice Address |
791 Chambers Rd Aurora CO 80011-7112 |
| Practice Telephone | 3036172720 |
| Practice Fax Number | 3036172397 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172365 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
P7D9E4R9 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
791 CHAMBERS RD |
| City | AURORA |
| State | CO |
| Zip Code | 80011-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997968 | Anne O. Garrett-mills | Psychiatry & Neurology | 791 Chambers Rd, Aurora, CO 80011-7112 | 2005-07-29 |
| 1588273049 | Kellee Bell | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-07-29 |
| 1427698984 | Jesse Quinn Weight | Counselor | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-01-13 |
| 1124664339 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1780220996 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1366087025 | Carolina Matus | Registered Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-16 |
| 1902449911 | Bianca Spencer-johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-10-22 |
| 1508428087 | Joyce Ann Viswanathan Prakash | Licensed Practical Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-07-03 |
| 1609437813 | Caroline Victoria Hysaw | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-27 |
| 1225698947 | Gabryelle Samone Johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1316316722 | Michaela Sutton | Physician Assistant | 2230 S Fraser St Unit 1, Aurora, CO 80014-4536 | 2015-09-16 |
| 1902248255 | Zachary Goren | Physician Assistant | 13650 E Mississippi Ave Ste 100, Aurora, CO 80012-3573 | 2013-07-26 |
| 1073853446 | Sarah Longyhore | Physician Assistant | 12631 E. 17th Avenue, Suite 6006, University of Colorado/anschutz Medical Campus, Aurora, CO 80045 | 2013-02-22 |
| 1235373721 | Emiliya Aminova | Physician Assistant | 2750 Tower Rd, Aurora, CO 80011-3501 | 2009-04-28 |
| 1942488200 | Ryan A Mooney | Physician Assistant | 13123 E 16th Ave Dept Of, Aurora, CO 80045-7106 | 2008-02-07 |
| 1366523128 | Arthur Sliwa | Physician Assistant | 2853 Kirk Rd, Aurora, IL 60502-6031 | 2006-10-18 |
| 1629094966 | Sharon Bahrych | Physician Assistant | 14707 E 2nd Ave Ste 150, Aurora, CO 80011-8914 | 2006-07-13 |
| 1821612805 | Elise Mackenzie Path | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-04 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.