Individual provider Active NPI

Leta R Deering, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1902829302
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP109662 Issued in TX
Practice address
2634 Gollihar Rd
Ste C
Corpus Christi, TX 78415-5200
Phone
(361) 853-3995
Fax
(361) 853-9702
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP109662 TX Primary

Addresses

Primary practice location

2634 Gollihar Rd
Ste C
Corpus Christi, TX 78415-5200

Mailing address

2634 Gollihar Rd
Ste C
Corpus Christi, TX 78415-5200
Phone (361) 853-3995

Other practice location 1

5714 Spohn Dr
Corpus Christi, TX 78414-4116
Phone (361) 906-0900

Other identifiers 3

IdentifierTypeStateIssuer
52353354MedicaidNM
181868406MedicaidTX
2983009YLPSOtherTXWELLMED PTAN

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
I20051101000903 TX Practitioner - Nurse Practitioner 8729005418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Nov 9, 2015 Accepting new patients
Wellmed Medical Group, PA CurrentSince Nov 9, 2015 Accepting new patients
Harlingen Physician Network Inc Past Accepting new patients

Locations

2634 Gollihar Rd
Ste C
Corpus Christi, TX 78415
Phone (361) 853-3995

5714 Spohn Dr
Corpus Christi, TX 78414
Phone (361) 445-3008

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: leta.deering@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1902829302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 GOLLIHAR RD",
            "address_2": "STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155200",
            "telephone_number": "361-853-3995",
            "fax_number": "361-853-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 GOLLIHAR RD",
            "address_2": "STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155200",
            "telephone_number": "361-853-3995",
            "fax_number": "361-853-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5714 Spohn Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144116",
            "country_code": "US",
            "telephone_number": "361-906-0900",
            "fax_number": "361-906-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERING",
        "first_name": "LETA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP109662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52353354",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181868406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "2983009YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.