Active NPI
Erica Dawn Leathers, FNPC
- Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1043394752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP112821
- Practice address
- 1901 Medi Park Dr Ste 65
Amarillo, TX 79106-2105 - Phone
- (806) 468-4333
- Fax
- (806) 468-4334
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 658192 | TX | |
| Nurse Practitioner | 363L00000X | AP112821 | TX | Primary |
Addresses
Primary practice location
1901 Medi Park Dr Ste 65
Amarillo, TX 79106-2105
Mailing address
1901 Medi Park Dr Ste 65
Amarillo, TX 79106-2105
Phone (806) 468-4333
Other names 1
- Erica Dawn Manning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP112821 | TX | MD | Nurse Practitioner |
| 658192 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Pediatric Clinic, PLLC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Nurse Practitioner
- Amarillo, TX
- NPI 1164892956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1043394752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 65",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062105",
"telephone_number": "806-468-4333",
"fax_number": "806-468-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 65",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062105",
"telephone_number": "806-468-4333",
"fax_number": "806-468-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERS",
"first_name": "ERICA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "658192",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP112821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "MANNING",
"middle_name": "DAWN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.