Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Deirdre Leake, MD

Facial Plastic Surgery Physician in St Augustine, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073617585

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Registry record

Entity type Individual (Type 1)

Name Deirdre Leake

Credential MD

Sex Female

Practice address 1750 Tree Blvd, Suite 10, St Augustine, FL, 32084

Phone (904) 810-5434

Fax (904) 810-5282

Enumeration date Sep 13, 2006

Last updated in NPPES Jun 12, 2025

Taxonomy & licenses

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License ME91018 (FL) Secondary

207YS0123X Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians · License ME91018 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P00255496	Other	FL	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Deirdre Leake practice?

The practice location on file with NPPES is in St Augustine, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Deirdre Leake?

The National Provider Identifier (NPI) for Deirdre Leake is 1073617585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-12.