Individual provider Active NPI

James Franklin Leach, APRN

  • Family Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1639588601
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004170 Issued in AR
Practice address
125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone
(870) 772-9355
Fax
(870) 772-9360
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 A004170 AR Primary

Addresses

Primary practice location

125 Arkansas Blvd
Texarkana, AR 71854-1963

Mailing address

PO Box 5637
Texarkana, TX 75505-5637
Phone (903) 831-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141013000514 AR Practitioner - Nurse Practitioner 9032339155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Oct 1, 2015 Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Oct 1, 2015 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Icarepro of Texas, PA Past Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

Interoperability endpoints

  • Direct secure messaging: james.leach.1@30520.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1639588601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5637",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755055637",
            "telephone_number": "903-831-7270",
            "fax_number": "903-794-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541963",
            "telephone_number": "870-772-9355",
            "fax_number": "870-772-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "JAMES",
        "middle_name": "FRANKLIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.