Active NPI
Leasha Raelynn Brooks, FNP
- Family Medicine Physician
- Topeka, KS
National Provider Identifier
1902432412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP141176
- Practice address
- 2200 SW Gage Blvd
Topeka, KS 66622-0001 - Phone
- (785) 350-3111
- NPI assigned
- Mar 16, 2020
- Last updated
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | AP141176 | TX | Primary |
Addresses
Primary practice location
2200 SW Gage Blvd
Topeka, KS 66622-0001
Mailing address
1221 Indiana St
Borger, TX 79007-6117
Phone (806) 341-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141176 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1902432412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 INDIANA ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790076117",
"telephone_number": "806-341-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666220001",
"telephone_number": "785-350-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LEASHA",
"middle_name": "RAELYNN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "AP141176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.