DR. SHIRLEY N LEADEM M.D.
NPI 1023194859
Pediatrics in St Augustine, FL

Q: What is Shirley Leadem's NPI number?

The NPI number for Shirley Leadem is 1023194859. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Shirley Leadem's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Leadem was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006

1740 TREE BOULEVARD, SUITE 112, ST AUGUSTINE, FL 32084(904) 829-6591(904) 824-8856 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shirley N Leadem M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIRLEY N LEADEM M.D. (NPI 1023194859) is an individual pediatrics provider in St Augustine, Florida, licensed in Florida (ME88076) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1023194859

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHIRLEY N LEADEMCredential: M.D.

Location Address1740 TREE BOULEVARD, SUITE 112St Augustine, FL 32084-5774

Mailing Address1740 Tree Boulevard, Suite 112St Augustine, FL 32084-5774 · (904) 829-6591 · Fax (904) 824-8856

Phone(904) 829-6591

Fax(904) 824-8856

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateMay 20, 2015

✔ NPI 1023194859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME88076

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1740 TREE BOULEVARD, St Augustine, FL 32084

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Other Identifiers 4

Medicaid267624900FL

Other4049277FL · Aetna

Other377712FL · Bc/bs

Medicare UPIND20747FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRS PAUL AND SHIRLEY LEADEM PA INC

Pediatrics

1740 TREE BOULEVARD, SUITE 112
ST AUGUSTINE, FL 32084

St. Johns County (904) 829-6591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Leadem's NPI number?

The NPI number for Shirley Leadem is 1023194859. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Shirley Leadem located?

Shirley Leadem practices at 1740 Tree Boulevard Suite 112, St Augustine, FL 32084. The listed phone number is (904) 829-6591.

What is Shirley Leadem's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Shirley Leadem was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.