Active NPI
Leisha Monette Blaylock, FNP-C
- Family Nurse Practitioner
- Denton, TX
National Provider Identifier
1083018063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP126686
- Practice address
- 3537 S Interstate 35 E Ste 200
Denton, TX 76210-6814 - Phone
- (940) 800-2565
- Fax
- (833) 269-3376
- NPI assigned
- Oct 20, 2014
- Last updated
- Feb 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP126686 | TX | Primary |
Addresses
Primary practice location
3537 S Interstate 35 E Ste 200
Denton, TX 76210-6814
Mailing address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8397NM | Other | TX | BCBS |
| 342225501 | Medicaid | TX |
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 |
|---|---|---|---|
| AP126686 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Wise Clinical Care Associates | Past | Accepting new patients | |
| Expert Surgical, PLLC | Past | Accepting new patients | |
| Decatur Hospital Authority | Past | Accepting new patients |
Interoperability endpoints
- leishablaylock@wise.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wise Health System
- Skilled Nursing Facility
- Decatur, TX
- NPI 1124076401
-
dba Decatur Medical Lodge
- Skilled Nursing Facility
- Decatur, TX
- NPI 1649722943
-
- Urgent Care Clinic/Center
- Haslet, TX
- NPI 1386112506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771718400000",
"number": "1083018063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "888-731-8994",
"fax_number": "999-999-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 S INTERSTATE 35 E STE 200",
"city": "DENTON",
"state": "TX",
"postal_code": "762106814",
"telephone_number": "940-800-2565",
"fax_number": "833-269-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAYLOCK",
"first_name": "LEISHA",
"middle_name": "MONETTE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2026-02-22",
"certification_date": "2026-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8397NM",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342225501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.