Individual provider Active NPI

Leanne Marie Buffaloe, MSN, APRN, CPNP-AC

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093359523
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143733 Issued in TX
Practice address
6701 Fannin St
Houston, TX 77030-2608
Phone
(832) 828-3660
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP143733 TX Primary

Addresses

Primary practice location

6701 Fannin St
Houston, TX 77030-2608

Mailing address

16132 Cowan Rd
Santa Fe, TX 77517-2654
Phone (713) 859-3873

Other names 1

  • Leanne Marie Petters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince May 1, 2023 Accepting new patients
Texas Children'S Physician Group PastSince Apr 1, 2022 Accepting new patients
Physicians Referral Service Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

2785 Gulf Fwy S
Ste 2200
League City, TX 77573
Phone (409) 772-3695

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1093359523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16132 COWAN RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172654",
            "telephone_number": "713-859-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302608",
            "telephone_number": "832-828-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFALOE",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "PETTERS",
            "middle_name": "MARIE",
            "credential": "MSN, APRN, CPNP-AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.