Organization Active NPI

Leap 4 Health

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1306534805
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LEAP 4 HEALTH
Practice address
11228 S Emerald Ave
Chicago, IL 60628-4707
Phone
(773) 425-9946
Fax
(773) 825-8320
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Tyra L. Dean-Ousley, FNP
Title
President
Phone
(773) 425-9946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11228 S Emerald Ave
Chicago, IL 60628-4707

Mailing address

11228 S Emerald Ave
Chicago, IL 60628-4707
Phone (773) 425-9946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1306534805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11228 S EMERALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284707",
            "telephone_number": "773-425-9946",
            "fax_number": "773-825-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11228 S EMERALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284707",
            "telephone_number": "773-425-9946",
            "fax_number": "773-825-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP 4 HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DEAN-OUSLEY",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-425-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.