Provider Demographics
NPI:1588379655
Name:LEAPHART, KASSIE MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:KASSIE
Middle Name:MARIE
Last Name:LEAPHART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KASSIE
Other - Middle Name:MARIE
Other - Last Name:KLEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2021 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6310
Mailing Address - Country:US
Mailing Address - Phone:406-697-6045
Mailing Address - Fax:
Practice Address - Street 1:2021 GEORGE ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6310
Practice Address - Country:US
Practice Address - Phone:406-697-6045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-APP-241172363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program