Individual provider Active NPI

Leanna M Tyler, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1285149401
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09586 Issued in LA
Practice address
5025 Shed Rd
Bossier City, LA 71111-5434
Phone
(318) 798-4488
Fax
(318) 798-4672
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 AP09586 LA Primary

Addresses

Primary practice location

5025 Shed Rd
Bossier City, LA 71111-5434

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
Phone (318) 798-4488

Other practice location 1

2826 Bienville Rd
Ringgold, LA 71068-2588
Phone (318) 894-2341

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
I20180123001748 LA Practitioner - Nurse Practitioner 2466711361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bossier Family Medicine, LLCGroup PAC ID 1850318122, 21 clinicians

Practice addresses (Care Compare)

160 Stone Creek Rd
Suite a
Stonewall, LA 71078-4906
Phone (318) 925-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09586LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bossier Family Medicine, LLC CurrentSince May 28, 2024 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Dec 19, 2022 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Aug 15, 2018 Accepting new patients
River Cities Urgent Care LLC PastSince Aug 15, 2018 Accepting new patients
Bossier Family Medicine, LLC PastSince Sep 11, 2022 Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272

2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100

2539 Viking Dr
Bossier City, LA 71111
Phone (318) 741-2920

5390 Barksdale Blvd
Ste 100
Bossier City, LA 71112
Phone (318) 747-8100

2539 Viking Dr
Ste 100
Bossier City, LA 71111
Phone (318) 747-8100

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

160 Stone Creek Rd
Ste A
Stonewall, LA 71078
Phone (318) 925-3339

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAJAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1285149401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4488",
            "fax_number": "318-798-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115434",
            "telephone_number": "318-798-4488",
            "fax_number": "318-798-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Bienville Rd",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "LA",
            "postal_code": "710682588",
            "country_code": "US",
            "telephone_number": "318-894-2341",
            "fax_number": "318-894-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "LEANNA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.