MRS. REBECCA ALYSON LEONARD (NPI# 1295142388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295142388 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA ALYSON LEONARD |
| Other Name | MS. REBECCA ALYSON FAHERTY |
| Credential | PA-C |
| Practice Address |
63 Thomas Johnson Dr Suite E Frederick MD 21702-4384 |
| Mailing Address |
63 Thomas Johnson Drive Suite E Frederick MD 21702-4384 |
| Practice Telephone | 3016947600 |
| Practice Fax Number | 3012282500 |
| Mailing Telephone | 3016947600 |
| Mailing Fax Number | 3012282500 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05464 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 926580505 | 05 | |
| MD | 926580507 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276101 | Rebecca J Leonard | Behavior Technician | 7258 Sw 158th Pl, Miami, FL 33193-3309 | 2020-05-15 |
| 1356516686 | Rebecca Leonard | Social Worker | 1010 N Madison Ave, Bay City, MI 48708-5926 | 2008-04-28 |
| 1831746098 | Rebecca L Leonard | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2019-08-22 |
| 1891202669 | Rebecca Leonard | Acupuncturist | 200 7th Ave, Santa Cruz, CA 95062-4668 | 2018-01-03 |
| 1831537331 | Rebecca Jean Leonard | Dental Hygienist | 7965 Sw Mohawk St, Tualatin, OR 97062-9193 | 2013-06-06 |
| 1699009639 | Rebecca Leonard | Physical Therapist | 6208 Montrose Road, Rockville, MD 20852 | 2009-09-23 |
| 1588807473 | Rebecca Jean Leonard | Speech-Language Pathologist | 1022 Scogin Dr, Monticello, AR 71655-9709 | 2009-04-08 |
| 1619160363 | Rebecca Marie Leonard | Dentist | 1645 W Jackson Blvd, Ste 210, Chicago, IL 60612-3276 | 2007-08-24 |
| 1316984602 | Rebecca M Leonard | Pediatrics | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2006-06-02 |
| 1336124858 | Rebecca J Leonard | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2005-12-07 |
| Street Address |
63 THOMAS JOHNSON DR SUITE E |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
| 1124494828 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2015-08-17 |
| 1316323793 | Hillary Ann Borsa | Registered Nurse | 63 Thomas Johnson Dr, Frederick, MD 21702-4384 | 2015-08-07 |
| 1619317419 | Sana Jahan Shamim | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2013-06-26 |
| 1427329077 | Amanda Morgan Freeman | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2012-01-13 |
| 1588806616 | Jonathan Richard Van Meter | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2009-04-06 |
| 1063695005 | Warner & Vanmeter M.d.pa | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2007-12-13 |
| 1578742250 | Michael R. Warner Mdpa | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2007-10-30 |
| 1699967869 | Jennifer Bell | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2007-08-13 |
| 1912030024 | David J Levine Dpm C Ped | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801164066 | Atekelt Yilma Tadese | Physician Assistant | 46-b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2011-12-02 |
| 1619121472 | Barbara S. Rebele | Physician Assistant | 22 S Market St, Suite 6d, Frederick, MD 21701-5570 | 2008-11-06 |
| 1790954253 | Robert Paul Cathor | Physician Assistant | 56 Thomas Johnson Drive, Ste 110, Frederick, MD 21702-4599 | 2008-02-28 |
| 1598946006 | Justina A Bennett | Physician Assistant | 85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists of Frederick, Frederick, MD 21702 | 2007-11-27 |
| 1104809342 | Tara Carson Jernejcic | Physician Assistant | 100 South Market Street, Frederick Community Action Agency, Frederick, MD 21701 | 2005-11-22 |
| 1376001214 | Lewis Edel Bertus | Physician Assistant | 610 Solarex Ct, Frederick, MD 21703-8624 | 2019-03-11 |
| 1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
| 1861867459 | Kelly Murray | Physician Assistant | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2015-12-08 |
| 1912332123 | Brittany Leigh Henry | Physician Assistant | 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | 2013-09-06 |
| 1154686392 | Daniel Christopher Rosko | Physician Assistant | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-07-12 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on MRS. REBECCA ALYSON LEONARD.
| 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.