Individual provider Active NPI

Lesley R Zachariah, PA-C

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1730432022
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08050 Issued in TX
Practice address
4510 Medical Center Dr Ste 312
McKinney, TX 75069-1604
Phone
(214) 592-9955
Fax
(214) 592-9935
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08050 TX Primary

Addresses

Primary practice location

4510 Medical Center Dr Ste 312
McKinney, TX 75069-1604

Mailing address

4510 Medical Center Dr Ste 312
McKinney, TX 75069-1604
Phone (214) 592-9955

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
I20121226000080 TX Practitioner - Physician Assistant 7911150917 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TEMPORARYTXMDHematology & Oncology Physician
PA08050TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legent Physician Group PLLC CurrentSince Dec 16, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

5330 N Loop 1604 W
Ste 102
San Antonio, TX 78249
Phone (210) 819-4562

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": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1730432022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 312",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691604",
            "telephone_number": "214-592-9955",
            "fax_number": "214-592-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 312",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691604",
            "telephone_number": "214-592-9955",
            "fax_number": "214-592-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "LESLEY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.