Individual provider Active NPI

Leigh Ann Youso

  • Specialist
  • Canyon, TX
National Provider Identifier
1962608224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2042737 Issued in TX
Practice address
10 Cottonwood LN
Apt 509
Canyon, TX 79015-2124
Phone
(806) 640-3645
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2042737 TX Primary
Specialist 174400000X A0543 NM

Addresses

Primary practice location

10 Cottonwood LN
Apt 509
Canyon, TX 79015-2124

Mailing address

10 Cottonwood LN
Apt 509
Canyon, TX 79015-2124
Phone (806) 640-3645

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

LicenseStateTypeSpecialty
A0543NMMDSpecialist
2042737TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962608224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COTTONWOOD LN",
            "address_2": "APT 509",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790152124",
            "telephone_number": "806-640-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COTTONWOOD LN",
            "address_2": "APT 509",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790152124",
            "telephone_number": "806-640-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSO",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "2042737",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "A0543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.