Individual provider Active NPI

Leandrea J Tzitzicas, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1174070536
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0002328-C-NP Issued in CO
Practice address
3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907
Phone
(719) 694-3595
Fax
(719) 493-9936
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1642577 CO
Family Nurse Practitioner 363LF0000X WV107150 WV
Family Nurse Practitioner 363LF0000X C-APN.0002328-C-NP CO Primary

Addresses

Primary practice location

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907

Mailing address

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907
Phone (719) 694-3595

Other practice location 1

1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Phone (304) 879-5020

Other names 1

  • Leandrea Stouffer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tzitzicasl@direct.monhealthsys.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250325001706 AL Practitioner - Nurse Practitioner 2567728348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Huntsville PCGroup PAC ID 3678674082, 14 clinicians

Practice addresses (Care Compare)

2317 Memorial Pkwy SW
Suite 300
Huntsville, AL 35801-5856
Phone (256) 881-4112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1642577COMDFamily Nurse Practitioner
C-APN.0002328-C-NPCOMDFamily Nurse Practitioner
WV107150WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Huntsville, P.C. CurrentSince Feb 13, 2025 Accepting new patients

Locations

2317 Memorial Pkwy SW
Ste 300
Huntsville, AL 35801
Phone (256) 881-4112

Interoperability endpoints

  • Direct secure messaging: tzitzicasl@direct.monhealthsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDJCD

Organizations & group practices 1

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1174070536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071907",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071907",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1929 Mason Dixon Hwy",
            "address_purpose": "LOCATION",
            "city": "Maidsville",
            "state": "WV",
            "postal_code": "265418152",
            "country_code": "US",
            "telephone_number": "304-879-5020",
            "fax_number": "304-879-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TZITZICAS",
        "first_name": "LEANDREA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1642577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "WV107150",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0002328-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tzitzicasl@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "MHMC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1929 Mason Dixon Hwy",
            "city": "Maidsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265418152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEANDREA",
            "last_name": "STOUFFER",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.