MRS. AUDRA ELLEN LEEDY (NPI# 1811271760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811271760 |
| Entity Type | Individual |
| Full Name | MRS. AUDRA ELLEN LEEDY |
| Credential | PA |
| Practice Address |
7300 Sandlake Commons Blvd Suite 200 Orlando FL 32819-8050 |
| Mailing Address |
7301 Stonerock Cir Suite 2 Orlando FL 32819-8004 |
| Practice Telephone | 4073511002 |
| Practice Fax Number | 4073511119 |
| Mailing Telephone | 4073511002 |
| Mailing Fax Number | 4073511119 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106328 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE | PA9106328 | 01 |
| Street Address |
7300 SANDLAKE COMMONS BLVD SUITE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986468 | Janet M. Robison | Orthopaedic Surgery | 7300 Sandlake Commons Blvd, Suite 127, Orlando, FL 32819-8050 | 2005-07-15 |
| 1720446420 | Durable Medical Equipment Specialists | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 305, Orlando, FL 32819-8050 | 2016-02-09 |
| 1760857627 | Melissa Bartlett | Physical Therapy Assistant | 7300 Sandlake Commons Blvd, Suite 120, Orlando, FL 32819-8050 | 2015-12-03 |
| 1023485679 | Sand Lake Cancer Center, Pa | Specialist | 7300 Sandlake Commons Blvd, Suite 200, Orlando, FL 32819-8050 | 2015-08-31 |
| 1598141293 | Christine Mara | Physical Therapist | 7300 Sandlake Commons Blvd, Orlando, FL 32819-8050 | 2015-08-04 |
| 1962888693 | Nathalie Jasmin Watzinger | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 127, Orlando, FL 32819-8050 | 2015-08-04 |
| 1235511908 | Amber Korb | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 305, Orlando, FL 32819-8050 | 2015-06-18 |
| 1093076770 | Ivf Orlando, Inc | Obstetrics & Gynecology | 7300 Sandlake Commons Blvd, Suite 227, Orlando, FL 32819-8050 | 2012-05-30 |
| 1982920757 | John L Meisenheimer Md Pa | Dermatology | 7300 Sandlake Commons Blvd, Suite 105, Orlando, FL 32819-8050 | 2010-04-19 |
| 1033434295 | James A. Matas M.d., P.a. | Specialist | 7300 Sandlake Commons Blvd, Suite 100, Orlando, FL 32819-8050 | 2010-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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| 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.