Individual provider Active NPI

Leanora Brissett

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1225753221
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1096511 Issued in TX
Practice address
4400 N Midland Dr
Midland, TX 79707-3385
Phone
(432) 704-5661
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 1096511 TX Primary

Addresses

Primary practice location

4400 N Midland Dr
Midland, TX 79707-3385

Mailing address

1802 Culver Dr
Midland, TX 79705-8323

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
I20221107000199 TX Practitioner - Nurse Practitioner 9537536412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1096511TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Consultants PLLC CurrentSince Dec 7, 2024 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leanora.brissett.1@9928.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1225753221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CULVER DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797058323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073385",
            "telephone_number": "432-704-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSETT",
        "first_name": "LEANORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1096511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.