Individual provider Active NPI

Leanna Michelle Suttle, APRN-FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1689174468
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220833 Issued in TX
Practice address
1307 Ridge Rd Apt 1106
Rockwall, TX 75087-4333
Phone
(214) 307-0833
NPI assigned
Feb 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 755072 TX
Family Nurse Practitioner 363LF0000X F01220833 TX Primary

Addresses

Primary practice location

1307 Ridge Rd Apt 1106
Rockwall, TX 75087-4333

Mailing address

637 Svenson Lane
Lavon, TX 75166-6960
Phone (432) 853-0452

Other practice location 1

705 Chelsea Dr
Wylie, TX 75098-6960
Phone (432) 853-0452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
755072TXMDRegistered Nurse
F01220833TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1689174468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SVENSON LANE",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751666960",
            "telephone_number": "432-853-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 RIDGE RD APT 1106",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874333",
            "telephone_number": "214-307-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Chelsea Dr",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750986960",
            "country_code": "US",
            "telephone_number": "432-853-0452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "LEANNA",
        "middle_name": "MICHELLE",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "755072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F01220833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.