JENNIFER L LEEPER (NPI# 1952595118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952595118 |
| Entity Type | Individual |
| Full Name | JENNIFER L LEEPER |
| Credential | PA |
| Practice Address |
124 Commodore St Ste B Pratt KS 67124-2993 |
| Practice Telephone | 6206726454 |
| Mailing Telephone | 6206726454 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2014-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | T-01537 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1501224 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200477850B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184755340 | Jennifer Dawn Leeper | Counselor | 1891 Old Trenton Rd, Clarksville, TN 37040-6734 | 2007-03-08 |
| 1790015964 | Jennifer A Leeper | Acupuncturist | 1863 Union St, San Francisco, CA 94123-4307 | 2010-01-11 |
| 1104918531 | Jennifer Najjar Leeper | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| Street Address |
124 COMMODORE ST STE B |
| City | PRATT |
| State | KS |
| Zip Code | 67124-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346163 | Pratt Regional Medical Center Corporation | Surgery | 124 Commodore St, Suite B, Pratt, KS 67124-2993 | 2006-07-11 |
| 1366522815 | Jason P Wiltshire | Surgery | 124 Commodore St, Suite B, Pratt, KS 67124-2993 | 2006-10-17 |
| 1710082508 | Candace D Koirth | Nurse Practitioner | 124 Commodore St, Suite A, Pratt, KS 67124-2901 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1275025264 | Steven M Kunz | Dentist | 501 S. Fincham, Pratt, KS 67124 | 2018-06-05 |
| 1972046266 | Hillary Sims | Developmental Therapist | 216 Curtis St., Pratt, KS 67124 | 2016-11-18 |
| 1215216122 | Kelli Gallagher | Occupational Therapist | 707 S High, Pratt, KS 67124 | 2011-08-09 |
| 1417193301 | Pratt Regional Medical Center Corp | Nurse Anesthetist, Certified Registered | 200 Commodore, Pratt, KS 67124 | 2008-12-23 |
| 1861511891 | Corey L. Neal | Specialist/Technologist | 348 Ne Sr 61, Pratt, KS 67124 | 2007-03-29 |
| 1588757454 | Dave J Johnston | Dentist | 219 S Ninnescah, Pratt, KS 67124 | 2006-10-02 |
| 1518060995 | William David Eastes | Chiropractor | 223 E 4th, Pratt, KS 67124 | 2006-09-07 |
| 1376646620 | Luis E Espinoza | Specialist | 124 Commodore St Ste B, Pratt, KS 67124 | 2006-09-05 |
| 1205809605 | John D Mathes | Dentist | 603 N Main, Pratt, KS 67124 | 2006-02-08 |
| Find all providers in zip 67124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675725 | Jordan Levi Walter | Physician Assistant | Associated Urologsits P A, 1133 College Ave G100, Manhattan, KS 66502-2756 | 2019-05-29 |
| 1316217102 | Tina L Lee | Physician Assistant | 15263 Sweetbriar Dr, Basehor, KS 66007-3031 | 2012-01-10 |
| 1407098395 | Kara Leigh-lawless Boyd | Physician Assistant | 3651 College Boulevard, Leawood, KS 66211 | 2009-03-24 |
| 1053446708 | Eastern Surgical Assistants, LLC | Physician Assistant | 16427 Metro Ave, Bonner Springs, KS 66012-7108 | 2007-02-22 |
| 1730223785 | Ty M. Taylor | Physician Assistant | 8321 Alden St, Lenexa, KS 66215-4213 | 2007-02-16 |
| 1366457038 | Gustav Thomas Riemer | Physician Assistant | 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 | 2006-07-30 |
| 1699795112 | Kenneth Brian Filsinger | Physician Assistant | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2006-07-20 |
| 1962435552 | Gregory Bryan De Laney | Physician Assistant | 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 | 2006-07-08 |
| 1538122973 | Leah Alpers | Physician Assistant | 351 W 10th St, Hoisington, KS 67544-1715 | 2006-04-07 |
| 1275596611 | Anne Linenberger | Physician Assistant | 1514 K 96 Highway, Great Bend, KS 67530 | 2006-04-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER L LEEPER.
| 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.