Organization Active NPI

Leithan Holdings, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1295465433
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LEITHAN HOLDINGS, LLC
Practice address
1700 N Hampton Rd Ste 105
Desoto, TX 75115-2392
Phone
(206) 666-8133
Fax
(972) 228-6619
NPI assigned
Jun 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Authorized official

Name
Esther T Ashu, NPNPI 1922142181
Title
Director
Phone
(206) 666-8133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1700 N Hampton Rd Ste 105
Desoto, TX 75115-2392

Mailing address

1700 N Hampton Rd Ste 105
Desoto, TX 75115-2392
Phone (206) 666-8133

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Kareo Direct

National Provider Directory

National Provider Directory

Locations

1700 N Hampton Rd
Ste 105
Desoto, TX 75115
Phone (206) 666-8133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1295465433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N HAMPTON RD STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152392",
            "telephone_number": "206-666-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N HAMPTON RD STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152392",
            "telephone_number": "206-666-8133",
            "fax_number": "972-228-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEITHAN HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "ASHU",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-666-8133",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 N Hampton Rd Ste 105",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751152392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.