Individual provider Active NPI

Shukura Leo, DC

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1164786380
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140426 Issued in TX
Practice address
550 S Watters Rd Ste 109
Allen, TX 75013-5224
Phone
(972) 542-3526
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12087 TX
Family Nurse Practitioner 363LF0000X AP140426 TX Primary

Addresses

Primary practice location

550 S Watters Rd Ste 109
Allen, TX 75013-5224

Mailing address

PO Box 3414
McKinney, TX 75070-8188

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
I20190725002154 TX Practitioner - Nurse Practitioner 5193992337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebron Physical Medicine PCGroup PAC ID 6709159510, 2 clinicians

Practice addresses (Care Compare)

1629 W Hebron Pkwy
Carrollton, TX 75010-6334
Phone (972) 478-5538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12087TXMDAddiction (Substance Use Disorder) Counselor
AP140426TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hebron Physical Medicine PC CurrentSince May 1, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 16, 2025 Accepting new patients
Post Acute Specialists of Texas PA Family CurrentSince Nov 18, 2024 Accepting new patients
Divine Spine Wellness Clinic Chiropractor Past Accepting new patients
T Uselton Inc Chiropractor PastSince May 1, 2019 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

3008 E Hebron Pkwy
Bldg 500
Carrollton, TX 75010
Phone (972) 478-5538

1629 W Hebron Pkwy
Carrollton, TX 75010
Phone (972) 478-5538

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1164786380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3414",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 109",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135224",
            "telephone_number": "972-542-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "SHUKURA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12087",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.