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MARY KAY LEACH ARNP
NPI 1235199134
Nurse Practitioner - Family in Fort Walton Beach, FL

Active since March 24, 2006
1000 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 32547(850) 863-8202(850) 862-6148 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kay Leach Arnp NPPES

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

MARY KAY LEACH ARNP (NPI 1235199134) is an individual family provider in Fort Walton Beach, Florida, licensed in Florida (ARNP9196496) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1235199134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY KAY LEACHCredential: ARNP
Location Address1000 MAR WALT DR, INTERNAL MEDICINE DEPARTMENTFort Walton Beach, FL 32547-6708
Mailing Address1005 Mar Walt DriveFort Walton Beach, FL 32547-6796 · (850) 863-8202 · Fax (850) 862-6148
Phone(850) 863-8202
Fax(850) 862-6148
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 19, 2011
✔ NPI 1235199134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9196496
1000 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Identifiers 1

Medicaid305445400FL

Other Providers at the Same Location NPPES 20

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

DEANNA RUTH ANDERSON
Dietitian, Registered
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
DR. JESSICA AMANDA RAMBHAROSE MD
Student in an Organized Health Care Education/Training Program
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 969-4500
MRS. ANDREA M PERSON PA
Physician Assistant
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Anesthesiology
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (954) 939-5000
BRITTANY NICOLE GRIMES FNP-C
Nurse Practitioner
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. MICHAEL C WILLIAMS MD
Emergency Medicine
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7607
DEVON N JERNIGAN PT, DPT
Physical Therapist
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
FORT WALTON BEACH MEDICAL CENTER, INC.
Rehabilitation Unit
1000 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111

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 Mary Leach's NPI number?

The NPI number for Mary Leach is 1235199134. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Mary Leach located?

Mary Leach practices at 1000 Mar Walt Dr Internal Medicine Department, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8202.

What is Mary Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Leach was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.