MARY LEDDY CRNA
NPI 1396713475
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Q: What is Mary Leddy's NPI number?

The NPI number for Mary Leddy is 1396713475. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Mary Leddy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Leddy was last updated on March 13, 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 March 14, 2006

3601 W 13 MILE RD, 400 FSC - PCS, ROYAL OAK, MI 48073(248) 423-3144 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Mary Leddy Crna NPPES

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

MARY LEDDY CRNA (NPI 1396713475) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704128589) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1396713475

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARY LEDDYCredential: CRNA

Location Address3601 W 13 MILE RD, 400 FSC - PCSRoyal Oak, MI 48073-6769

Mailing Address3601 W 13 Mile Rd, 400 Fsc - PcsRoyal Oak, MI 48073-6769 · (248) 423-3144

Phone(248) 423-3144

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateMarch 13, 2015

✔ NPI 1396713475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704128589

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3601 W 13 MILE RD, Royal Oak, MI 48073

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified0F36442208MI

Medicaid4280744MI

Other430F364420MI · Bcbsm

Medicare UPINS44183MI

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.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant