Active NPI
Leeann Marie Nabors
- Community Health Worker
- Stockton, CA
National Provider Identifier
1366181612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1148 W Fremont St
Stockton, CA 95203-2622 - Phone
- (209) 955-8113
- NPI assigned
- Jun 2, 2022
- Last updated
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
1148 W Fremont St
Stockton, CA 95203-2622
Mailing address
PO Box 233145
Sacramento, CA 95823-0435
Phone (209) 955-8113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831383272 | Other | CA | LMFT PROVIDER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lnabors@friendsoutside.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends Outside | Community Health Worker | Current | Accepting new patients |
Locations
1148 W Fremont St
Stockton, CA 95203
Phone (209) 955-0701
Interoperability endpoints
- lnabors@friendsoutside.org
Organizations & group practices 1
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": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1366181612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233145",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958230435",
"telephone_number": "209-955-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 W FREMONT ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032622",
"telephone_number": "209-955-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABORS",
"first_name": "LEEANN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT PROVIDER",
"identifier": "1831383272",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lnabors@friendsoutside.org",
"affiliation": "N",
"endpointDescription": "Work Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1148 W Fremont St",
"city": "Stockton",
"state": "CA",
"country_code": "US",
"postal_code": "952032622",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.