Active NPI
Jane Elisabeth Leonardson, MD
- Internal Medicine Physician
- Conroe, TX
National Provider Identifier
1356598304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8069
- Practice address
- 200 River Pointe Dr
Suite 200
Conroe, TX 77304-2814 - Phone
- (281) 543-5263
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8069 | TX | Primary |
Addresses
Primary practice location
200 River Pointe Dr
Suite 200
Conroe, TX 77304-2814
Mailing address
200 River Pointe Suite 200
Conroe, TX 77304
Phone (281) 543-5263
Other names 1
- Jane Murray Moultrie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8069 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1356598304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVER POINTE SUITE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "77304",
"telephone_number": "281-543-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVER POINTE DR",
"address_2": "SUITE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773042814",
"telephone_number": "281-543-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARDSON",
"first_name": "JANE",
"middle_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "MOULTRIE",
"middle_name": "MURRAY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.