KELLY MARIE LEACH FNP-C NPI 1972836385

NPI Information

  • NPI: 1972836385
  • Provider Name: KELLY MARIE LEACH, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 S COLUMBIA RD
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 780-2300

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NPI Details

Kelly Marie Leach, FNP-C is a family nurse practitioner in Grand Forks, ND with 16 years of experience. Kelly Marie Leach, FNP-C NPI is 1972836385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-2300

The NPI 1972836385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour (HCPCS:G0420)

The enumeration date for this NPI number is 9/16/2009 and was last updated on 2/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR29405NORTH DAKOTAYes
2363LF0000XNurse PractitionerFamilyR156241-1MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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