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LEADING EDGE HEALTHCARE, PLLC
NPI 1659017499
General Practice in Prescott, AZ

Active since May 05, 2022
724 N MONTEZUMA ST STE A, PRESCOTT, AZ 86301(928) 925-2871 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Jul 28, 2022, May 5, 2022 (3 updates tracked since 2022).

About Leading Edge Healthcare, Pllc NPPES

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

LEADING EDGE HEALTHCARE, PLLC (NPI 1659017499) is a healthcare organization registered as a general practice in Prescott, Arizona and active in the NPI registry since May 2022. The organization lists Jacob Kirkeeng, Owner Member, as its authorized official.

NPPES Registry Identity

NPI1659017499
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLEADING EDGE HEALTHCARE, PLLC
Location Address724 N MONTEZUMA ST STE APrescott, AZ 86301-2066
Mailing Address2182 Mark AvePrescott, AZ 86301-1029
Phone(928) 925-2871
Organization SubpartNo
Authorized OfficialJacob KirkeengOwner Member · (928) 925-2871
Enumeration DateMay 5, 2022
Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1659017499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
724 N MONTEZUMA ST STE A, Prescott, AZ 86301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

KIMBERLY LANGFORD LPC
Counselor (Professional)
724 N MONTEZUMA ST STE A
PRESCOTT, AZ 86301
Yavapai County (928) 308-3569
YOUR HEALTH CLINIC, PLLC
Clinic/Center (Primary Care)
724 N MONTEZUMA ST STE A
PRESCOTT, AZ 86301
Yavapai County (928) 778-1566
JACOB KIRKEENG PA-C
Physician Assistant
724 N MONTEZUMA ST STE A
PRESCOTT, AZ 86301
Yavapai County (928) 925-2871
TYLER LANGFORD LPC
Counselor (Professional)
724 N MONTEZUMA ST STE A
PRESCOTT, AZ 86301
Yavapai County (928) 848-3191

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 Leading Edge Healthcare, PLLC's NPI number?

The NPI number for Leading Edge Healthcare, PLLC is 1659017499. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Leading Edge Healthcare, PLLC located?

Leading Edge Healthcare, PLLC is located at 724 N Montezuma St Ste A, Prescott, AZ 86301. The listed phone number is (928) 925-2871.

What is Leading Edge Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Leading Edge Healthcare, PLLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.