{"npi":"1013968213","type":"NPI-1","status":"active","name":{"display":"Kristin Leland MD","other":[{"code":"1","type":"Formerly known as","value":"FICKENSCHER, KRISTIN ANNE"}],"first":"KRISTIN","last":"LELAND","middle":"ANNE","credential":"MD"},"specialty":{"primary_taxonomy":"2085P0229X","primary_taxonomy_description":"Pediatric Radiology Physician","slug":"pediatric-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":false,"state":"KS","license":"04-32982"},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":true,"state":"MO","license":"2005016192"}]},"addresses":[{"purpose":"LOCATION","street_1":"2401 GILLHAM RD","city":"KANSAS CITY","state":"MO","postal_code":"641084619","country_code":"US","phone":"8162343000","fax":"8163029939"},{"purpose":"MAILING","street_1":"2401 GILLHAM RD","city":"KANSAS CITY","state":"MO","postal_code":"641084619","country_code":"US","street_2":"PROVIDER ENROLLMENT","phone":"8162343000","fax":"8163029939"}],"license":{"state":"MO","number":"2005016192"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"208345405","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"718114","state":"MO","issuer":"HEALTHLINK"},{"type_code":"01","label":"Other","value":"127217","state":"MO","issuer":"BLUE SHIELD/BLUE CHOICE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050927000903","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MO","pac_id":"2567497795"},{"enrlmt_id":"I20080611000428","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"KS","pac_id":"2567497795"}]},"enumeration_date":"2006-05-12","last_updated":"2025-12-18","_meta":{"source":"NPPES","snapshot_date":"2025-12-18","doc_url":"https://findmynpi.com/api"}}