Active NPI
Leena G Panicker, DNP FNP-C
- Family Nurse Practitioner
- Balch Springs, TX
National Provider Identifier
1780037259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- API130237
- Practice address
- 11203 Lake June Rd Ste 100
Balch Springs, TX 75180-1304 - Phone
- (469) 289-7755
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | API130237 | TX | Primary |
Addresses
Primary practice location
11203 Lake June Rd Ste 100
Balch Springs, TX 75180-1304
Mailing address
11203 Lake June Rd Ste 100
Balch Springs, TX 75180-1304
Phone (469) 289-7755
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11203 Lake June Rd
Suite 100
Balch Springs, TX 75180-1304
Phone (469) 776-5250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| API130237 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegria Family Clinic PLLC | Single Specialty | Current | Accepting new patients |
Locations
11203 Lake June Rd
Ste 100
Balch Springs, TX 75180
Phone (469) 289-7755
2241 Peggy Ln
Ste B
Garland, TX 75042
Phone (972) 205-1047
Organizations & group practices 1
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": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1780037259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11203 LAKE JUNE RD STE 100",
"city": "BALCH SPRINGS",
"state": "TX",
"postal_code": "751801304",
"telephone_number": "469-289-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11203 LAKE JUNE RD STE 100",
"city": "BALCH SPRINGS",
"state": "TX",
"postal_code": "751801304",
"telephone_number": "469-289-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICKER",
"first_name": "LEENA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "DNP FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "API130237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Balch Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.