ALEXIS NICHOLE LEACH (NPI# 1245847870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245847870 |
| Entity Type | Individual |
| Full Name | ALEXIS NICHOLE LEACH |
| Credential | PA-C |
| Practice Address |
5494 South Dort Hwy Flint MI 48507 |
| Mailing Address |
6398 High Valley Dr White Lake MI 48383-3382 |
| Practice Telephone | 8102339901 |
| Mailing Telephone | 2487702548 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601010173TMP20 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659878015 | Alexis Leach | Behavioral Analyst | 2355 Fairview Ave N Ste 106, Roseville, MN 55113-2724 | 2018-04-11 |
| Street Address |
5494 SOUTH DORT HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| 1205215142 | Reformation Home Health LLC | Home Health | 412 S. Saginaw St, Suite 301, Flint, MI 48507 | 2015-05-26 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588147441 | Julia Shea Roberts | Physician Assistant | 1125 S Linden Rd Ste 210, Flint, MI 48532-4069 | 2018-09-07 |
| 1063848992 | Annalee Polmatier | Physician Assistant | 4520 Linden Creek Pkwy Ste F1, Flint, MI 48507-2969 | 2013-09-24 |
| 1629314430 | Faye Ann Curtis | Physician Assistant | 924 Tacken St, Flint, MI 48532-5071 | 2012-12-26 |
| 1689615791 | Wendy Sue Meredith | Physician Assistant | 2303 Stone Bridge Drive, Flint, MI 48532-5407 | 2006-06-09 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1083244743 | Jacqueline Vita Vyskocil | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-01-22 |
| 1093372278 | Noimus Salam | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2019-05-23 |
| 1114488541 | Steven Sarnowski | Physician Assistant | 4455 Town Center Pkwy, Flint, MI 48532-3425 | 2019-03-28 |
| 1538634548 | Camrion Grabowski | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-10-05 |
| 1598240574 | Kaitlyn Marie Bragan | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-09-26 |
| Find all providers in FLINT | ||||
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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.