Active NPI
Alice W. Leonard, NP
- Family Nurse Practitioner
- Houma, LA
National Provider Identifier
1093058521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07254
- Practice address
- 1990 Industrial Blvd
Houma, LA 70363-7055 - Phone
- (985) 873-1730
- Fax
- (985) 851-0053
- NPI assigned
- Apr 3, 2013
- 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 | AP07254 | LA | Primary |
Addresses
Primary practice location
1990 Industrial Blvd
Houma, LA 70363-7055
Mailing address
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 873-1730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2880586 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Louisiana Medical Associates | Family | Current | Accepting new patients |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| South Louisiana Medical Associates | Nurse Practitioner | Current | Accepting new patients |
Locations
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Internal Medicine Physician
- Houma, LA
- NPI 1710944012
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1093058521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-873-1730",
"fax_number": "985-851-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-873-1730",
"fax_number": "985-851-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "ALICE",
"middle_name": "W.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2880586",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.