NPIMap

Individual provider Active NPI

Leigh Ann Klein, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Longview, TX
National Provider Identifier
1487981452
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
683702 Issued in TX
Practice address
705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573
Phone
(903) 315-2700
Fax
(903) 236-2575
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 683702 TX Primary

Addresses

Primary practice location

705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573

Mailing address

705 E Marshall Ave
Suite 3000
Longview, TX 75601-5573
Phone (903) 315-2700

Other identifiers 4

IdentifierTypeStateIssuer
752616977068OtherTXTRICARE
598448YMAFOtherTXMEDICARE
8HB308OtherTXBCBS
75-2616977-083OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001649 TX Practitioner - Nurse Practitioner 8022383702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Special Health Resources for Texas, IncorporatedGroup PAC ID 1355326158, 14 clinicians

Practice addresses (Care Compare)

402 N 7TH St
Longview, TX 75601-6704
Phone (903) 212-7170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683702TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2017 Accepting new patients
Special Health Resources for Texas, Inc Past Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients

Locations

113 Airport Rd
Ste 200
Sulphur Springs, TX 75482
Phone (903) 439-2273

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lklein@whc.gwaydirect.com
  • Direct secure messaging: leigh.klein@wchcl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1487981452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-2700",
            "fax_number": "903-236-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-2700",
            "fax_number": "903-236-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "683702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977068",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "598448YMAF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8HB308",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-083",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.