Active NPI
Leandrea J Tzitzicas, FNP-C
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1174070536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- C-APN.0002328-C-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1642577 | CO | MD | Family Nurse Practitioner |
| C-APN.0002328-C-NP | CO | MD | Family Nurse Practitioner |
| WV107150 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of Huntsville, P.C. | Current | Accepting new patients |
Locations
2317 Memorial Pkwy SW
Ste 300
Huntsville, AL 35801
Phone (256) 881-4112
Interoperability endpoints
- tzitzicasl@direct.monhealthsys.org
- 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.
-
- Neurology Physician
- Huntsville, AL
- NPI 1871700799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.