Active NPI
Ashley Leigh-Ann Leon, CSFA
- Surgical Physician Assistant
- Azle, TX
National Provider Identifier
1366209504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 154750
- Practice address
- 1457 Eagle Nest Dr
Azle, TX 76020-5160 - Phone
- (871) 915-3510
- NPI assigned
- Mar 4, 2024
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 154750 | TX | Primary |
Addresses
Primary practice location
1457 Eagle Nest Dr
Azle, TX 76020-5160
Mailing address
1457 Eagle Nest Dr
Azle, TX 76020-5160
Phone (871) 915-3510
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154750 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1366209504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 EAGLE NEST DR",
"city": "AZLE",
"state": "TX",
"postal_code": "760205160",
"telephone_number": "871-915-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 EAGLE NEST DR",
"city": "AZLE",
"state": "TX",
"postal_code": "760205160",
"telephone_number": "871-915-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "ASHLEY",
"middle_name": "LEIGH-ANN",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "154750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.