Individual provider Active NPI

Leanna Michelle Phillips, NP

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1003792011
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-137809 Issued in AL
Practice address
3400 Highway 78 E Ste 321
Jasper, AL 35501-8951
Phone
(205) 226-5900
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-137809 AL Primary

Addresses

Primary practice location

3400 Highway 78 E Ste 321
Jasper, AL 35501-8951

Mailing address

9991 Bankston Rd
Dora, AL 35062-1724
Phone (205) 639-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006000065 AL Practitioner - Nurse Practitioner 0345746616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PC 31 clinicians

Practice addresses (Care Compare)

3400 Hwy 78 E
Suite 321
Jasper, AL 35501-8951
Phone (205) 226-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC CurrentSince Sep 2, 2025 Accepting new patients

Locations

817 Princeton Ave SW
Ste 206
Birmingham, AL 35211
Phone (205) 788-7572

2244 North Rd
Ste 108
Gardendale, AL 35071

3400 Highway 78 E
Ste 321
Jasper, AL 35501
Phone (205) 385-0630

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1003792011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9991 BANKSTON RD",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350621724",
            "telephone_number": "205-639-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E STE 321",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018951",
            "telephone_number": "205-226-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LEANNA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.