Individual provider Active NPI

Kathryn Flannery Leathers, APRN

  • Nurse Practitioner
  • Galveston, TX
National Provider Identifier
1750198974
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1181412 Issued in TX
Practice address
2027 61St St
Galveston, TX 77551-1401
Phone
(097) 894-0224
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1181412 TX Primary

Addresses

Primary practice location

2027 61St St
Galveston, TX 77551-1401

Mailing address

2027 61St St
Galveston, TX 77551-1401
Phone (409) 766-0950

Other names 1

  • Kathryn Flannery Leathers Professional name

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
I20241223002664 TX Practitioner - Nurse Practitioner 4688101124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 Ave N
Galveston, TX 77550-6613

9450 SW Gemini Dr
Beaverton, OR 97008-7105

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1181412TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Primary Care PLLC CurrentSince Dec 13, 2024 Accepting new patients
Village Family Practice, L.L.P CurrentSince Mar 1, 2025 Accepting new patients
Villagemd of Southeast Texas, PA Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients

Locations

2027 61st St
Galveston, TX 77551
Phone (409) 744-9800

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

7111 Medical Center Dr
Ste 200
Texas City, TX 77591
Phone (281) 333-9747

Interoperability endpoints

  • Direct secure messaging: kathryn.leathers.1@13711.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25952/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAGDD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1750198974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "409-766-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "097-894-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "KATHRYN",
        "middle_name": "FLANNERY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1181412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LEATHERS",
            "middle_name": "FLANNERY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.