P Praxis·MD
● Active Type 1 · Individual

MRS. Leanne M Kovick, CFM

Mastectomy Fitter·Caldwell, ID· NPI 1962804120 · Enumerated 2014 · 11 years on NPI
Kovick is 1 of 1 mastectomy fitter providers in Caldwell and 1 of 1 in Idaho.
NPI age
11 years
Enumerated 2014-09-19
Primary specialty
Mastectomy Fitter
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1 active mastectomy fitter providers in Idaho.

NPI age
11 years
≈ at median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-09Enumerated in NPPES
2014 2026

Where they practice

Practice location
2006 Blaine St
Caldwell, ID 836054343
📞 2089855404fax 2084025959
Mailing address
2006 Blaine St
Caldwell, ID 836054343
📞 2089855404fax 2084025959

Specialties

  • Mastectomy Fitter Primary
    An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
    ID license #CFM02746 taxonomy 224900000X

Identifiers

TypeValueNotes
05 (ID) 1962804120

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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