Active NPI
Joan S Leaks, MD
- Family Medicine Physician
- N Las Vegas, NV
National Provider Identifier
1184754400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5178
- Practice address
- 151 W Brooks Ave
N Las Vegas, NV 89030-3901 - Phone
- (702) 399-6545
- Fax
- (702) 642-1767
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5178 | NV | Primary |
Addresses
Primary practice location
151 W Brooks Ave
N Las Vegas, NV 89030-3901
Mailing address
151 W Brooks Ave
501
N Las Vegas, NV 89030-3901
Phone (702) 399-6545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5178 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1184754400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W BROOKS AVE",
"address_2": "501",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890303901",
"telephone_number": "702-399-6545",
"fax_number": "702-642-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W BROOKS AVE",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890303901",
"telephone_number": "702-399-6545",
"fax_number": "702-642-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAKS",
"first_name": "JOAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "5178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.