Thomas Edison Leary Jr., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8332 Issued in AZ

Practice address

3910 Gaston Ave Ste 140
Dallas, TX 75246-1523

Phone

(214) 494-8121

NPI assigned

May 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

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.

• Liferestore MD USA LLC

  dba RestoreDOC MD

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1922542075
  NPD (past)

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1679867295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 N 18TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152053",
            "telephone_number": "214-701-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 GASTON AVE STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461523",
            "telephone_number": "214-494-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "THOMAS",
        "middle_name": "EDISON",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Leamy, M.S., LMFT, LCDC
• Megan Lean
• Leapfertility, PLLC
• Lear Senior Care Services, LLC (Family Staffing Solutions)
• Lauren Paulina Leard, PHARMD
• Megan Leath
• Kayla Leathem, PHARMD
• Penny C. Leatherwood, CNM
• Patrick J Leavey, MD
• Tyler Lebaron

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.