Individual provider Active NPI

Gabriel August Leiker, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1174950869
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
740982 Issued in TX
Practice address
5115 80TH St
Lubbock, TX 79424-3017
Phone
(806) 788-4368
Fax
(806) 788-4369
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 740982 TX Primary

Addresses

Primary practice location

5115 80TH St
Lubbock, TX 79424-3017

Mailing address

5115 80TH St
Lubbock, TX 79424-3017
Phone (806) 788-4368

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
I20131112001264 TX Practitioner - Nurse Practitioner 0749416212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLC 240 clinicians

Practice addresses (Care Compare)

11350 US Hwy 380
Suite 100
Cross Roads, TX 76227-8319
Phone (940) 228-0721

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

3520 NW Centre Dr
Fort Worth, TX 76135-3612
Phone (817) 375-2100

3751 S I 35
Denton, TX 76210-6852
Phone (940) 383-2700

600 Horizon Rd
Rockwall, TX 75032-5454
Phone (972) 332-5555

7232 N Fwy
Fort Worth, TX 76137-2481
Phone (817) 439-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
740982TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Physicians, PLLC CurrentSince Mar 1, 2022 Accepting new patients
South Plains Pathology Inc Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 2

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1174950869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-788-4368",
            "fax_number": "806-788-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-788-4368",
            "fax_number": "806-788-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKER",
        "first_name": "GABRIEL",
        "middle_name": "AUGUST",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "740982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.