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

Misty Basham-Leedy, PA-C

Individual provider Physician Assistant · NPI 1467724591

Misty Basham-Leedy, PA-C is a Physician Assistant in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1906 Belleview Ave SE Carilion Rmh - Dept OF Emergency Medicine
Roanoke, VA 24014-1838
Phone: (540) 266-6331
Fax: (540) 981-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003761 (VA)

Record details

NPI number1467724591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 6, 2012
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address1906 Belleview Avenue, Carilion Rmh - Department Of Emergency Medicine, Roanoke, VA 24014

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