RHONDA J. LEACH (NPI# 1770734402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770734402 |
| Entity Type | Individual |
| Full Name | RHONDA J. LEACH |
| Credential | WHARNP |
| Practice Address |
1279 Highway 54 W Ste 220 Fayetteville GA 30214 |
| Mailing Address |
155 Crystal Beach Dr 121 Destin FL 32541-3527 |
| Practice Telephone | 7709912200 |
| Practice Fax Number | 7709911341 |
| Mailing Telephone | 8504247320 |
| Mailing Fax Number | 8504247322 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9442154 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3005739 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100064440 | 05 |
| Street Address |
1279 HIGHWAY 54 W STE 220 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1912528365 | Lindsey Carol Maxwell | Advanced Practice Midwife | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2020-04-27 |
| 1922562479 | Lauren E Mix | Midwife | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2019-01-29 |
| 1043704562 | Lindsey Meg Hanshaw | Physician Assistant | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2018-06-18 |
| 1447763222 | Kristiana Gregg | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2017-11-15 |
| 1104272194 | Gina Harris | Obstetrics & Gynecology | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2016-05-09 |
| 1902285398 | Stephanie Standridge | Advanced Practice Midwife | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2015-05-19 |
| 1679909295 | Stacy M Ulmer | Advanced Practice Midwife | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023575818 | Janet Cole | Nurse Practitioner | 916 Our St, Fayetteville, NC 28314-8475 | 2019-02-27 |
| 1083836886 | Linda Mckennon Smith | Nurse Practitioner | 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 | 2007-05-02 |
| 1831249986 | County of Cumberland | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301-4401 | 2007-01-11 |
| 1821010364 | Carolyn Ann Pollock | Nurse Practitioner | 3270 N Wimberly Dr, Fayetteville, AR 72703-4032 | 2006-07-24 |
| 1386623361 | Dawn Fowler Barnes | Nurse Practitioner | 2915 Raeford Rd, Ste 203, Fayetteville, NC 28303-5508 | 2006-01-10 |
| 1114583101 | Yvonne Conaway | Nurse Practitioner | 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 | 2019-05-15 |
| 1982110813 | Michelle Gomez Stucky | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2017-12-14 |
| 1447763222 | Kristiana Gregg | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2017-11-15 |
| 1497047658 | Heidi Lynn Lowder | Nurse Practitioner | 2817 Reilly Rd, Fayetteville, NC 28310 | 2011-05-06 |
| 1275855504 | Lindsey L Witt | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2010-03-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on RHONDA J. LEACH.
| 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.