Individual provider Active NPI

Sauti J Ledbetter, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1821753583
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP145832 Issued in TX
Practice address
412 E Pleasant Run Rd Ste B
Desoto, TX 75115-3936
Phone
(469) 857-3101
Fax
(469) 857-3104
NPI assigned
Nov 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145832 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145832 TX Primary

Addresses

Primary practice location

412 E Pleasant Run Rd Ste B
Desoto, TX 75115-3936

Mailing address

412 E Pleasant Run Rd
Ste B
Desoto, TX 75115-3936
Phone (469) 235-1056

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
I20220325001228 TX Practitioner - Nurse Practitioner 6103211396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Mental Health and Wellness PLLCGroup PAC ID 0143674499, 3 clinicians

Practice addresses (Care Compare)

1835 W Main St
Gun Barrel City, TX 75156-4401
Phone (903) 385-3115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145832TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Mental Health and Wellness PLLC Family CurrentSince Mar 4, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 13, 2024 Accepting new patients

Locations

335 W Dallas St
Canton, TX 75103
Phone (903) 385-3115

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1835 W Main St
Gun Barrel City, TX 75156
Phone (903) 385-3115

Organizations & group practices 2

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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1821753583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E PLEASANT RUN RD",
            "address_2": "STE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153936",
            "telephone_number": "469-235-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E PLEASANT RUN RD STE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153936",
            "telephone_number": "469-857-3101",
            "fax_number": "469-857-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "SAUTI",
        "middle_name": "J",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145832",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.