Organization Active NPI

Leading Crown Professional Group, PLLC

  • Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1548880396
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LEADING CROWN PROFESSIONAL GROUP, PLLC
Practice address
2626 Raven Falls LN
Friendswood, TX 77546-6072
Phone
(832) 326-9028
Fax
(281) 486-2096
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Mrs. Veronica Okafor, FNPNPI 1922629229
Title
Owner
Phone
(832) 326-9028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH1000X
Infusion Therapy Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WI0500X
Wound Care Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WW0000X
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QH0002X
Home Infusion Agency 251F00000X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2626 Raven Falls LN
Friendswood, TX 77546-6072

Mailing address

2626 Raven Falls LN
Friendswood, TX 77546-6072
Phone (832) 326-9028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address citycrown@sbcglobal.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909001121 TX Part B Supplier - Clinic/Group Practice 2860898392 Receives reassigned benefits from 1 practitioner
Practice locations: Friendswood, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1548880396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 RAVEN FALLS LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466072",
            "telephone_number": "832-326-9028",
            "fax_number": "281-486-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 RAVEN FALLS LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466072",
            "telephone_number": "832-326-9028",
            "fax_number": "281-486-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING CROWN PROFESSIONAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-326-9028",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "citycrown@sbcglobal.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2626 Raven Falls Ln",
            "city": "Friendswood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775466072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.