Leonora Muhammad, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2023009842 Issued in MO

Practice address

2930 Willow Creek Estates Dr
Florissant, MO 63031-1662

Phone

(314) 564-5556

NPI assigned

Jan 15, 2011

Reactivated

Dec 10, 2024

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Just Care Plus

  • Primary Care Nurse Practitioner
  • Sugar Land, TX
  • NPI 1558185900

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1568767994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 WILLOW CREEK ESTATES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311662",
            "telephone_number": "314-564-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 WILLOW CREEK ESTATES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311662",
            "telephone_number": "314-564-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "LEONORA",
        "name_prefix": "Dr.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "deactivation_date": "2024-11-12",
        "reactivation_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023009842",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007029534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mothers Way Child Care Center, Inc (Mother's Way Career Counseling)
• John Robert Motley, MSPT ATC
• Averie Alexandra Mount
• Ms. Ruby's Home Health Care, LLC
• Mehwish A Mufti, MD
• Rita Mukerji, MD
• Justin Mulesa
• John Paul Mullane, RPH
• Denise J Mullaney-Maynard, ANP, ACNP
• Multicare Health Services, Inc.

• Nurse Practitioner in Florissant, MO
• Providers in Florissant, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.