KELLI KAY LEASK FNP-C
NPI 1235776576
Nurse Practitioner - Family in Grand Rapids, MI

Active since December 05, 2019
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-2160 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2021, Apr 19, 2021, Feb 16, 2021 and 1 more (4 updates tracked since 2019).

About Kelli Kay Leask Fnp-c NPPES

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

KELLI KAY LEASK FNP-C (NPI 1235776576) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704245626) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1235776576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI KAY LEASKCredential: FNP-C
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateDecember 5, 2019
Last NPPES UpdateSeptember 10, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
NPI 1235776576 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 MI · 4704245626
100 MICHIGAN ST NE, Grand Rapids, MI 49503

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

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 Kelli Leask's NPI number?

The NPI number for Kelli Leask is 1235776576. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Kelli Leask located?

Kelli Leask practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-2160.

What is Kelli Leask'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 Kelli Leask was last updated on September 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.