Active NPI
Lealia Skinner- Sapp, NP
- Family Nurse Practitioner
- Monroe, LA
National Provider Identifier
1447526033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN072089-AP06510
- Practice address
- 7 Leslie LN
Monroe, LA 71203-2783 - Phone
- (318) 789-8970
- NPI assigned
- Mar 28, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN072089-AP06510 | LA | Primary |
Addresses
Primary practice location
7 Leslie LN
Monroe, LA 71203-2783
Mailing address
7 Leslie LN
Monroe, LA 71203-2783
Phone (318) 789-8970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2194097 | Medicaid | LA |
Other names 1
- Ms. Lealia Skinner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN072089-AP06510 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp Louisiana Aco Billing LLC | Current | Accepting new patients | |
| Integrated Care Professionals of Lousiana, LLC | Current | Accepting new patients | |
| Lealia Skinner-Sapp | Past | Accepting new patients |
Locations
3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768
333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Monroe, LA
- NPI 1861766537
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1043894231
-
- Nurse Practitioner
- Monroe, LA
- NPI 1336607381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1447526033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LESLIE LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712032783",
"telephone_number": "318-789-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LESLIE LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712032783",
"telephone_number": "318-789-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER- SAPP",
"first_name": "LEALIA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN072089-AP06510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2194097",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEALIA",
"last_name": "SKINNER",
"prefix": "MS.",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.