Individual provider Active NPI

Anne Marie Leneave

  • Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1497362123
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1033105 Issued in TX
Practice address
17450 St Lukes Way Ste 360
Conroe, TX 77384-8046
Phone
(832) 693-9470
NPI assigned
Sep 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 783114 TX
Nurse Practitioner 363L00000X 1033105 TX Primary

Addresses

Primary practice location

17450 St Lukes Way Ste 360
Conroe, TX 77384-8046

Mailing address

5403 Tory Ann Dr
Magnolia, TX 77354-5850
Phone (936) 525-7775

Other practice location 1

5403 Tory Ann Dr
Magnolia, TX 77354-5850
Phone (936) 525-7775

Other identifiers 1

IdentifierTypeStateIssuer
783114OtherTXTEXAS BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayoung1@stlukeshealth.org Direct CHI St. Luke's Hospital The Woodlands

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716000970 TX Practitioner - Nurse Practitioner 1355743063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

17200 St Luke'S Way
The Woodlands, TX 77384-8007
Phone (713) 798-1000

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
783114TXMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 10, 2021 Accepting new patients
Baylor College of Medicine CurrentSince May 10, 2021 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6620 Main St
Ste 1450
Houston, TX 77030
Phone (713) 798-7500

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

17450 St Lukes Way
Ste 360
The Woodlands, TX 77384
Phone (281) 872-6306

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1497362123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 TORY ANN DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545850",
            "telephone_number": "936-525-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY STE 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848046",
            "telephone_number": "832-693-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5403 Tory Ann Dr",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773545850",
            "country_code": "US",
            "telephone_number": "936-525-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENEAVE",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TX",
            "license": "783114",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1033105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "783114",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayoung1@stlukeshealth.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "CHI St. Luke's Hospital The Woodlands",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17450 St Lukes Way Ste 360",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773848046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.