Individual provider Active NPI

Lealia Skinner- Sapp, NP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1447526033
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN072089-AP06510 Issued in LA
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

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2194097MedicaidLA

Other names 1

  • Ms. Lealia Skinner Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN072089-AP06510LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Louisiana Aco Billing LLC CurrentSince Apr 3, 2024 Accepting new patients
Integrated Care Professionals of Lousiana, LLC CurrentSince Apr 3, 2024 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.

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

Verify at the official NPI Registry.