Individual provider Active NPI

Leonardo Lozano

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1164298311
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1142615 Issued in TX
Practice address
4400 N Midland Dr Ste 406a
Midland, TX 79707-3388
Phone
(432) 704-5661
NPI assigned
Nov 29, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1142615 TX Primary

Addresses

Primary practice location

4400 N Midland Dr Ste 406a
Midland, TX 79707-3388

Mailing address

6701 Crown Point CT
Midland, TX 79706-2235
Phone (432) 250-4110

Other practice location 1

1900 W Wall St Ste B
Midland, TX 79701
Phone (432) 247-1309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231222000697 TX Practitioner - Nurse Practitioner 7810347424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slater-Delk Medical, PLLCGroup PAC ID 3476875790, 33 clinicians
Basin Emergency Physicians PLLCGroup PAC ID 0244397826, 16 clinicians

Practice addresses (Care Compare)

3952 E 42ND St Z
Vital Care Urg Care
Odessa, TX 79762-5942
Phone (432) 614-5513

407 Kent St
Midland, TX 79701-5858
Phone (432) 687-2273

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1142615TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Slater-Delk Medical, PLLC CurrentSince Dec 15, 2023 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Dec 23, 2025 Accepting new patients
Premier Family Care I, Inc Past Accepting new patients
Elite Family Practice LLC Family PastSince Jun 1, 2022 Accepting new patients

Locations

2602 S Gregg St
Ste 6
Big Spring, TX 79720
Phone (432) 315-2077

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

407 Kent St
Midland, TX 79701
Phone (432) 687-2273

4400 N Midland Dr
Ste 406A
Midland, TX 79707
Phone (432) 704-5661

3952 E 42nd St
Ste Z
Odessa, TX 79762
Phone (432) 272-0633

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26711/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leonardo.lozano.1@26711.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1164298311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 CROWN POINT CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062235",
            "telephone_number": "432-250-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR STE 406A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073388",
            "telephone_number": "432-704-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Wall St Ste B",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "79701",
            "country_code": "US",
            "telephone_number": "432-247-1309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "LEONARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1142615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.