Individual provider Active NPI

Leticia Pryor, PNP-PC

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1942641576
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
771937 Issued in TX
Practice address
2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700
Phone
(214) 456-7000
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 771937 TX Primary

Addresses

Primary practice location

2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700

Mailing address

201 Amanda LN Ste 200
Waxahachie, TX 75165-1392
Phone (972) 937-1300

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
I20220112001640 TX Practitioner - Nurse Practitioner 7315339884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
771937TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Oct 1, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Oct 1, 2021 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients
Sniffles & Giggles, LLC Pediatrics Past Accepting new patients

Locations

1935 Medical District Dr
#908
Dallas, TX 75235

2350 N Stemmons Fwy
Ste F
Dallas, TX 75207

2350 N Stemmons Fwy
Ste F2400
Dallas, TX 75207
Phone (469) 488-7100

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Organizations & group practices 5

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1942641576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMANDA LN STE 200",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651392",
            "telephone_number": "972-937-1300",
            "fax_number": "972-937-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N STEMMONS FWY STE F2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072700",
            "telephone_number": "214-456-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "771937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.