Individual provider Active NPI

Jamie Xuan Le, FNP-C

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1073104576
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1025719 Issued in TX
Practice address
3413 Spectrum Blvd Ste 100
Richardson, TX 75082-9705
Phone
(972) 688-6868
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1025719 TX
Family Medicine Physician 207Q00000X 1025719 TX Primary

Addresses

Primary practice location

3413 Spectrum Blvd Ste 100
Richardson, TX 75082-9705

Mailing address

3413 Spectrum Blvd Ste 100
Richardson, TX 75082-9705
Phone (972) 688-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210224000553 TX Practitioner - Nurse Practitioner 1456766567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1025719TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Independent Physicians Group, Inc. Family Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

2821 George Bush Hwy
Ste 301
Richardson, TX 75082
Phone (972) 437-9210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGDGCA/Endpoint/IGDGCA

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1073104576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 SPECTRUM BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829705",
            "telephone_number": "972-688-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SPECTRUM BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829705",
            "telephone_number": "972-688-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JAMIE",
        "middle_name": "XUAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "1025719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1025719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.