Kristen Leake, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132400 Issued in TX

Practice address

4309 102ND St
Lubbock, TX 79423

Phone

(806) 761-0747

Fax

(806) 761-0751

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center Hospital, Lubbock, TX, CCN 450686

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristen.leake@direct.myteamcare.com

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.

• Umc Physicians

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1669418547
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lubbock County Hospital District

  • Land Ambulance
  • Lubbock, TX
  • NPI 1174620546

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1538245717

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1679521652

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164
  Care Compare affiliation
• Lubbock County Hospital District

  • Hearing and Speech Clinic/Center
  • Lubbock, TX
  • NPI 1831299114

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1184175168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 102ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "806-761-0747",
            "fax_number": "806-761-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KRISTEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "805300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.leake@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4309 102nd St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• LBK-ABA, LLC
• Kathy Duc Le, LCSW-S
• Lea D Clift
• Angela Kim Leach, C.R.N.A.
• Carmie Leake, RN, OCN
• Aimee Leal, APRN
• Daniel Joseph Leal, MA COUNSELING
• Leaning Red Oak, LLC
• Leaps & Bounds Pediatrics, PLLC
• Brittney Elizabeth Lear, MS

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.

Verify at the official NPI Registry.