Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristina E Leedham, PA-C

Individual provider Physician Assistant · NPI 1992045165

Kristina E Leedham, PA-C is a Physician Assistant in Plymouth, Massachusetts. Qualified in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
14
Licensed in
CA, MA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

51 Obery St
Plymouth, MA 02360-2129
Phone: (508) 732-6770
Fax: (508) 732-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2576 Renfrew St, Eureka, CA 95501-3345 — (707) 445-3257

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4563 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 64558 (CA)

Record details

NPI number1992045165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2013
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address910 Washington St Ste 200, Dedham, MA 02026-6033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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