Audra Shay Leonard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06974 Issued in TX

Practice address

1301 W Wall St Ste C
Midland, TX 79701-6605

Phone

(432) 570-4500

Fax

(432) 522-2115

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Bhuvana Balasekaran MD PA

  • Family Medicine Physician
  • Midland, TX
  • NPI 1447598875
  Medicare reassignment

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1881965648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W WALL ST STE C",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016605",
            "telephone_number": "432-570-4500",
            "fax_number": "432-522-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W WALL ST STE C",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016605",
            "telephone_number": "432-570-4500",
            "fax_number": "432-522-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 Andrews Hwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797034870",
            "country_code": "US",
            "telephone_number": "432-699-6000",
            "fax_number": "432-699-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "AUDRA",
        "middle_name": "SHAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lekker Speech, Feeding & Wellness PLLC
• Leela Kumar Lella, M.D
• Delma Lemos, LCDC, CART
• Lend Me Your Ear, L.P.
• Leo Villaroman, MD, PA
• Shae Anne Leonard, PA
• Christine Alicia Leonhardt, FNP-BC
• Dondrell Lester, PHARM.D
• Jordan Lester, PHARM.D.
• Abraham Wai Jyun Leung, PA-C

• Medical Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.