Individual provider Active NPI

Leoa A Sanders, NP

  • Nurse Practitioner
  • Irving, TX
National Provider Identifier
1093853921
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
544428 Issued in TX
Practice address
6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone
(972) 969-2190
Fax
(972) 969-2170
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 544428 TX Primary

Addresses

Primary practice location

6800 N Macarthur Blvd
Irving, TX 75039-2422

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598

Other identifiers 3

IdentifierTypeStateIssuer
044353303MedicaidTX
044353304MedicaidTX
044353305MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120703000124 TX Practitioner - Nurse Practitioner 6204091911 Reassigns benefits to 5 organizations
I20220912001762 MT Practitioner - Nurse Practitioner 6204091911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

12415 N
Suite 35
Austin, TX 78753-1326
Phone (737) 205-1270

919 E 32ND St
St David's Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
544428TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Garfield CurrentSince May 10, 2022 Accepting new patients
Tanana Chiefs Conference CurrentSince Mar 8, 2023 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jan 1, 2018 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Sep 1, 2020 Accepting new patients
Tanana Chiefs Conference CurrentSince Mar 8, 2023 Accepting new patients
County of Garfield CurrentSince May 10, 2022 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Dec 25, 2023 Accepting new patients
St. David's Carenow Urgent Care PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 8

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1093853921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3598",
            "fax_number": "972-599-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392422",
            "telephone_number": "972-969-2190",
            "fax_number": "972-969-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LEOA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "544428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044353303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044353304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044353305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.