Individual provider Active NPI

Hailey Leach, APRN FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1619641677
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1049117 Issued in TX
Practice address
7541 US Highway 87 E Ste 1
San Antonio, TX 78263-2407
Phone
(210) 648-9900
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1049117 TX Primary

Addresses

Primary practice location

7541 US Highway 87 E Ste 1
San Antonio, TX 78263-2407

Mailing address

7541 US Highway 87 E Ste 1
San Antonio, TX 78263-2407
Phone (210) 648-9900

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
I20210828000243 TX Practitioner - Nurse Practitioner 7618372632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group, PLLCGroup PAC ID 6507995826, 2 clinicians

Practice addresses (Care Compare)

7541 US Hwy 87 E
Suite 1
San Antonio, TX 78263-2407
Phone (210) 648-9900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group, PLLC CurrentSince Aug 30, 2021 Accepting new patients

Locations

7541 US Highway 87 E
China Grove, TX 78263

7541 US Highway 87 E
Ste 1
San Antonio, TX 78263
Phone (210) 648-9900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1619641677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 US HIGHWAY 87 E STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632407",
            "telephone_number": "210-648-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 US HIGHWAY 87 E STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632407",
            "telephone_number": "210-648-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "HAILEY",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.