Individual provider Active NPI

Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1275924169
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127295 Issued in TX
Practice address
8144 Walnut Hill LN Ste 1350
Dallas, TX 75231-4335
Phone
(972) 598-0000
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 AP127295 TX Primary

Addresses

Primary practice location

8144 Walnut Hill LN Ste 1350
Dallas, TX 75231-4335

Mailing address

1200 Tree Shadow LN
Anna, TX 75409-1029
Phone (214) 578-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, OK, CO, OH, PA, NJ, VA, DC, CT10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20150605000732 TX Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 2 organizations
I20190821001818 FL Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 3 organizations
I20211011003008 OK Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 1 organization
I20220913002509 CO Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 3 organizations
I20230322000830 OH Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 1 organization
I20231204003332 PA Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 1 organization
I20240624001153 NJ Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 2 organizations
I20240717000574 VA Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 1 organization
I20260123002300 DC Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 1 organization
I20260129001797 CT Practitioner - Nurse Practitioner 5799006532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Center of Jacksonville, LLCGroup PAC ID 8628303948, 4 clinicians
Infusion Center of Denver, LLCGroup PAC ID 3971659590, 6 clinicians
Infusion Center of Pennsylvania LLCGroup PAC ID 9032408646, 9 clinicians
Vivo Infusion Colorado LLCGroup PAC ID 2769854884, shared by 2 NPIs, 6 clinicians
MPP Infusion Center of Port St Lucie LLCGroup PAC ID 2264761964, 4 clinicians
MPP Infusion Center of Tulsa, LLCGroup PAC ID 8628476330, 5 clinicians

Practice addresses (Care Compare)

11512 Lake Mead Ave
Suite 302 303
Jacksonville, FL 32256-9680
Phone (904) 456-8734

198 Union Blvd
Suite 100
Lakewood, CO 80228-1811
Phone (303) 980-5676

2014 City Line Rd
Suite 103
Bethlehem, PA 18017-2190
Phone (610) 495-6800

2425 Canyon Blvd
Suite F
Boulder, CO 80302-6736
Phone (855) 478-1528

525 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1605
Phone (772) 272-0010

8806 S Yale Ave
Suite B
Tulsa, OK 74137-3712
Phone (918) 710-2062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127295TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivo Infusion Colorado, LLC CurrentSince Nov 1, 2022 Accepting new patients
Civic Wilton, PLLC CurrentSince Jan 21, 2026 Accepting new patients
Infusion Center of Jacksonville, LLC CurrentSince Jul 8, 2019 Accepting new patients
Vivo Infusion Colorado, LLC CurrentSince Sep 15, 2023 Accepting new patients
Infusion Center of Pennsylvania LLC CurrentSince Oct 21, 2023 Accepting new patients
MPP Infusion Center of Tyler LLC CurrentSince Aug 26, 2019 Accepting new patients
Infusion Center of Denver, LLC CurrentSince Jun 2, 2022 Accepting new patients
Vivo Infusion Colorado, LLC CurrentSince Jan 2, 2023 Accepting new patients
Multigroup Physician Practice of Texas CurrentSince Feb 1, 2019 Accepting new patients
Civic North Haven, LLC CurrentSince Jan 21, 2026 Accepting new patients
Vivo Infusion Virginia LLC CurrentSince May 6, 2024 Accepting new patients
Specialty Infusion of NJ PC CurrentSince Apr 14, 2024 Accepting new patients
MPP Infusion Center of Port St Lucie LLC CurrentSince Oct 1, 2019 Accepting new patients
Vivo Infusion Virginia LLC CurrentSince May 6, 2024 Accepting new patients
MPP Infusion Center of Tulsa, LLC CurrentSince Oct 1, 2021 Accepting new patients
Civic Farmington, PLLC CurrentSince Jan 21, 2026 Accepting new patients
Infusion Care Providers of America CurrentSince Apr 14, 2024 Accepting new patients
Id Consultants of Northeast Ohio, Inc CurrentSince Jan 20, 2023 Accepting new patients
MPP Infusion Center of Orlando, LLC CurrentSince Jul 19, 2019 Accepting new patients
Id Consultants Inc CurrentSince Jan 20, 2023 Accepting new patients
Striker Infusion Services PastSince Apr 5, 2020 Accepting new patients
Infusion Associates of Ohio LLC Past Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 Accepting new patients

Locations (25 of 63)

2425 Canyon Blvd
Ste F
Boulder, CO 80302

1402 S Parker Rd
Ste A104
Denver, CO 80231

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

198 Union Blvd
Ste 100
Lakewood, CO 80228
Phone (303) 980-5676

1626 Cole Blvd
Ste 225
Lakewood, CO 80401

3013 W 104th Ave
Unit 300
Westminster, CO 80031
Phone (720) 292-1184

10398 Reed St
Unit 300B
Westminster, CO 80021
Phone (561) 323-8987

220 Farmington Ave
Farmington, CT 06032
Phone (203) 883-0038

220 Farmington Ave
Ste 2
Farmington, CT 06032

127 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 883-0038

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

249 Danbury Rd
Ste 201
Wilton, CT 06897

11512 Lake Mead Ave
Ste 302303
Jacksonville, FL 32256
Phone (720) 465-5030

525 NW Lake Whitney Pl
Ste 101
Port St Lucie, FL 34986
Phone (772) 272-0010

1573 W Fairbanks Ave
Ste 200
Winter Park, FL 32789
Phone (407) 637-8300

1800 Chapel Ave W
Ste 303
Cherry Hill, NJ 08002
Phone (610) 495-6800

557 Cranbury Rd
Ste 17
East Brunswick, NJ 08816
Phone (732) 257-4008

116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202

120 N Route 17
Ste 200
Paramus, NJ 07652

100 Canal Pointe Blvd
Ste 112
Princeton, NJ 08540
Phone (609) 243-8711

1047 Surf Ave
Ste 2
Brooklyn, NY 11224

3401 Enterprise Pkwy
Ste 110
Beachwood, OH 44122
Phone (216) 245-6762

6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906

150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480

155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060

Interoperability endpoints

  • Direct secure messaging: lpurtthipatkool@mpptexas.directbygreenway.com

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1275924169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 TREE SHADOW LN",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754091029",
            "telephone_number": "214-578-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 1350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314335",
            "telephone_number": "972-598-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "LEEANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.