Individual provider Active NPI

Leann Kristine Preston, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Childress, TX
National Provider Identifier
1306237136
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127347 Issued in TX
Practice address
2305 Ave F NW
Suite 900
Childress, TX 79201
Phone
(940) 937-8528
Fax
(064) 681-8968
NPI assigned
Feb 16, 2015
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 AP127347 TX Primary

Addresses

Primary practice location

2305 Ave F NW
Suite 900
Childress, TX 79201

Mailing address

6010 Amarillo Boulevard West
Amarillo, TX 79106
Phone (806) 355-9703

Other names 1

  • Ms. Leann Kristine Davis Former name

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
I20150422002286 TX Practitioner - Nurse Practitioner 6608194626 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127347TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Inc CurrentSince Mar 7, 2015 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Amarillo Primary Care PLLC PastSince Aug 28, 2018 Accepting new patients
Preferred Hospital Leasing Inc. Past Accepting new patients

Locations

1011 15th St
Wellington, TX 79095
Phone (806) 447-5311

1013 15th St
Wellington, TX 79095
Phone (806) 447-2521

1014 15th St
Wellington, TX 79095
Phone (806) 442-5311

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, 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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1306237136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 AMARILLO BOULEVARD WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-355-9703",
            "fax_number": "806-447-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 AVE F NW",
            "address_2": "SUITE 900",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "79201",
            "telephone_number": "940-937-8528",
            "fax_number": "064-681-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "LEANN",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "DAVIS",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Childress, TX

Sources for this page

Verify at the official NPI Registry.