Individual provider Active NPI

Jonatha Belcina Leicher

  • Acute Care Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1790441384
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1176755 Issued in TX
Practice address
2501 W Burbank Blvd
Burbank, CA 91505-2347
Phone
(877) 929-6863
Fax
(818) 979-0593
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1176755 TX Primary

Addresses

Primary practice location

2501 W Burbank Blvd
Burbank, CA 91505-2347

Mailing address

9717 Cypresswood Dr Apt 1725
Houston, TX 77070-3270
Phone (512) 840-9788

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
I20251015004005 TX Practitioner - Nurse Practitioner 8628565371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 W Burbank Blvd
Suite 200
Burbank, CA 91505-2347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1176755TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc CurrentSince Aug 25, 2025 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Sep 21, 2025 Accepting new patients
Compass Palliative Care, Inc PastSince Sep 21, 2025 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1790441384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 CYPRESSWOOD DR APT 1725",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703270",
            "telephone_number": "512-840-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "877-929-6863",
            "fax_number": "818-979-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHER",
        "first_name": "JONATHA",
        "middle_name": "BELCINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1176755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.