Individual provider Active NPI

Leland Corey Pretty Weasel

  • Case Manager/Care Coordinator
  • Albuquerque, NM
National Provider Identifier
1538075148
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5801 Haines Ave NE Apt 30
Albuquerque, NM 87110-5265
Phone
(505) 391-8450
NPI assigned
Aug 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X NM Primary

Addresses

Primary practice location

5801 Haines Ave NE Apt 30
Albuquerque, NM 87110-5265

Mailing address

5801 Haines Ave NE Apt 30
Albuquerque, NM 87110-5265
Phone (505) 391-8450

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

NPI Registry JSON

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1538075148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 HAINES AVE NE APT 30",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105265",
            "telephone_number": "505-391-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 HAINES AVE NE APT 30",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105265",
            "telephone_number": "505-391-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETTY WEASEL",
        "first_name": "LELAND",
        "middle_name": "COREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.