Individual provider Active NPI

Tak Yee Leung, DNP, FNP-BC

  • Nurse Practitioner
  • Liberal, KS
National Provider Identifier
1124694427
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80308-112 Issued in KS
Practice address
102 E 11TH St
Liberal, KS 67901-2784
Phone
(620) 624-2565
Fax
(620) 624-3016
NPI assigned
May 28, 2021
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 53-80308-112 KS Primary

Addresses

Primary practice location

102 E 11TH St
Liberal, KS 67901-2784

Mailing address

102 E 11TH St
Liberal, KS 67901-2784
Phone (620) 624-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210809000771 KS Practitioner - Nurse Practitioner 1951705292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80308-112KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Taduran Sports Medicine and Osteopathic Wellness Center PastSince May 1, 2023 Accepting new patients

Locations

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGHAD/Endpoint/EJGHAD
  • Direct secure messaging: takyee.leung@984752243015684.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1124694427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565",
            "fax_number": "620-624-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565",
            "fax_number": "620-624-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "TAK YEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80308-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.