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

Timothy Russell Leonard

Individual provider Family Nurse Practitioner · NPI 1023714177

Timothy Russell Leonard is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 465-5910
Fax: (616) 465-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704363385 (MI)

Record details

NPI number1023714177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2023
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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