Individual provider Active NPI

Beau James Leonard, A.P.R.N., F.N.P.-C.

  • Primary Care Nurse Practitioner
  • Houma, LA
National Provider Identifier
1235512666
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP08387 Issued in LA
Practice address
1014 W Tunnel Blvd
Houma, LA 70360
Phone
(985) 851-1717
Fax
(985) 851-7183
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN123903 LA
Family Nurse Practitioner 363LF0000X AP08387 LA
Primary Care Nurse Practitioner 363LP2300X AP08387 LA Primary

Addresses

Primary practice location

1014 W Tunnel Blvd
Houma, LA 70360

Mailing address

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

Other practice location 1

911 Verret St
Houma, LA 70360-4637
Phone (985) 876-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150804003440 LA Practitioner - Nurse Practitioner 1254645377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

911 Verret St
Houma, LA 70360-4637
Phone (985) 876-7388

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08387LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Nurse Practitioner CurrentSince Feb 5, 2017 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Dec 25, 2021 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Dec 25, 2021 Accepting new patients

Locations

115 Eureka Dr
Gray, LA 70359
Phone (985) 873-1477

8120 Main St
Ste 301
Houma, LA 70360
Phone (985) 851-6653

8120 Main St
Ste 402
Houma, LA 70360
Phone (985) 872-5577

911 Verret St
Houma, LA 70360
Phone (985) 876-7388

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

Interoperability endpoints

  • Direct secure messaging: bleonard407505@direct.ochsner.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1235512666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-828-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-851-1717",
            "fax_number": "985-851-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Verret St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703604637",
            "country_code": "US",
            "telephone_number": "985-876-7388",
            "fax_number": "985-872-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "BEAU",
        "middle_name": "JAMES",
        "credential": "A.P.R.N., F.N.P.-C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN123903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08387",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP08387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.