Individual provider Active NPI

Tiffany Leake, CRNA

  • Certified Registered Nurse Anesthetist
  • McKinney, TX
National Provider Identifier
1861744120
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
815761 Issued in TX
Practice address
2719 Virginia Pkwy
McKinney, TX 75071-4917
Phone
(469) 625-2500
NPI assigned
Oct 11, 2012
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP07005 LA
Certified Registered Nurse Anesthetist 367500000X 815761 TX Primary

Addresses

Primary practice location

2719 Virginia Pkwy
McKinney, TX 75071-4917

Mailing address

700 Highlander Blvd Ste 415
Arlington, TX 76015-4346
Phone (817) 516-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121120000279 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496906596 Reassigns benefits to 5 organizations
Practice locations: McKinney, TX

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Anesthesia PLLCGroup PAC ID 5092083998, 11 clinicians

Practice addresses (Care Compare)

811 S Central Expy
Suite 103
Richardson, TX 75080-7439
Phone (972) 636-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP07005LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tgi Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2018 Accepting new patients
IV Anesthesia Services PLLC CurrentSince Oct 8, 2012 Accepting new patients
Eagle Anesthesia PLLC CurrentSince Jun 3, 2017 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Stratus Anesthesia Associates Southlake PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

4221 Medical Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 331-0702

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

5600 W Lovers Ln
Dallas, TX 75209
Phone (318) 990-9099

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 529-6200

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1861744120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154346",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714917",
            "telephone_number": "469-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "TIFFANY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP07005",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "815761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.