Leana Sue Baggett Talbott

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37906 Issued in TX

Practice address

421 W Concho Ave
San Angelo, TX 76903-6310

Phone

(325) 500-8465

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Leana Sue Baggett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greater Heights LLC

  • Psychologist
  • San Angelo, TX
  • NPI 1952882979
  NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1013401371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-500-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-500-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOTT",
        "first_name": "LEANA",
        "middle_name": "SUE BAGGETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANA",
            "last_name": "BAGGETT",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Marie Swingle, PHARMD
• Sharon Sue Swize, RD,LD
• Laura A Sykora
• Iris Taber, PH.D.
• Christina Julietta Tahinakou, LCDC
• Tammy O'Neal, LLC
• Alaynah Tarpley, BCBA
• Dava Marie Taveirne, MSN, APRN, FNP-C
• Michelle Taylor-Chinn, FNP
• Amy Elizabeth Taylor, M.ED., LPC ASSOCIATE

• Clinical Psychologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.