FREDRICK CURTIS LEAK (NPI# 1588226849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588226849 |
| Entity Type | Individual |
| Full Name | FREDRICK CURTIS LEAK |
| Practice Address |
500 N Mcpherson Church Rd Fayetteville NC 28303-0278 |
| Practice Telephone | 9108675141 |
| Mailing Telephone | 9108675141 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
26755 | NC | Other Service Providers |
| Street Address |
500 N MCPHERSON CHURCH RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-0278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710459920 | Sherri Arnold-graham | Prosthetic/Orthotic Supplier | 500 N Mcpherson Church Rd, Fayetteville, NC 28303-0278 | 2018-12-28 |
| 1386295004 | Sherri's Crowning Glory | Prosthetic/Orthotic Supplier | 500 N Mcpherson Church Rd, Fayetteville, NC 28303-0278 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363715 | Arielle Williams | Specialist | 2622 Hope Mills Rd Ste 116, Fayetteville, NC 28306-8286 | 2020-10-09 |
| 1417590704 | Charo Thomas | Specialist | 3035 Legion Rd Ste 105, Fayetteville, NC 28306-4004 | 2019-10-20 |
| 1023580917 | Erica Lawrence | Specialist | 3124 Harmony Hall Way Apt 104, Fayetteville, NC 28303-5194 | 2018-12-18 |
| 1952888703 | Sherah Ashley Lightfoot | Specialist | 2904 Brookcrossing Dr, Fayetteville, NC 28306-4615 | 2018-07-24 |
| 1376043364 | Brittani Parker | Specialist | 240 Sawtooth Dr Apt 16, Fayetteville, NC 28314-4526 | 2018-02-15 |
| 1528587730 | Barber Kings | Specialist | 2945 Hope Mills Rd Ste 112, Fayetteville, NC 28306-8261 | 2017-09-19 |
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1801348818 | Lisa Moore | Specialist | 2147 Skyview Dr, Fayetteville, NC 28304-5126 | 2016-10-26 |
| 1902354822 | Vivian Arnold | Specialist | 518 Kenwood Rd, Fayetteville, GA 30214-3490 | 2016-09-20 |
| 1902251556 | Tracy Blackmon-paylor | Specialist | 732 Dalmore Dr, Fayetteville, NC 28311-1133 | 2016-05-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on FREDRICK CURTIS LEAK.
| 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.