IndividualActive
Coralia Leyderman, PA-C
NPI 1124426812 · Physician Assistant · Wentzville, MO
Provider details
- NPI number
- 1124426812
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2014025990 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385-3814
Phone: (636) 332-8455
Approximate (ZIP-level) locationGet directions
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Additional practice locations (1)
- 3635 Vista AveSaint Louis, MO 63110-2539Phone: (314) 577-8000
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.