Individual provider Active NPI

Leann Holloway, NP

  • Family Nurse Practitioner
  • Vidor, TX
National Provider Identifier
1174057939
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133253 Issued in TX
Practice address
1105 N Main St
Vidor, TX 77662-3738
Phone
(409) 422-4801
NPI assigned
Apr 18, 2017
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133253 TX
Family Nurse Practitioner 363LF0000X AP133253 TX Primary

Addresses

Primary practice location

1105 N Main St
Vidor, TX 77662-3738

Mailing address

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

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
I20170525002456 TX Practitioner - Nurse Practitioner 5193092948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133253TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Dec 14, 2022 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
TMC Provider Group PLLC CurrentSince Dec 14, 2022 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 1, 2025 Accepting new patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Apr 24, 2017 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

114 S Lhs Dr
Lumberton, TX 77657
Phone (409) 225-9582

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

1105 N Main St
Vidor, TX 77662
Phone (409) 422-4380

Organizations & group practices 7

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1174057939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N MAIN ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776623738",
            "telephone_number": "409-422-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "LEANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidor, TX

Sources for this page

Verify at the official NPI Registry.