Individual provider Active NPI

Leigh Ann Ware, RN, CPNP

  • Pediatric Nurse Practitioner
  • Pleasanton, TX
National Provider Identifier
1972506251
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
236882 Issued in TX
Practice address
109 N Smith St
Pleasanton, TX 78064-4109
Phone
(830) 281-8367
Fax
(830) 569-8626
NPI assigned
May 31, 2005
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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 236882 TX Primary

Addresses

Primary practice location

109 N Smith St
Pleasanton, TX 78064-4109

Mailing address

109 N Smith St.
PO Box 947
Pleasanton, TX 78064
Phone (830) 281-8367

Other identifiers 3

IdentifierTypeStateIssuer
161370505MedicaidTX
161370504MedicaidTX
161370506MedicaidTX

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
I20050317000759 TX Practitioner - Nurse Practitioner 5395790828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Real Community MHMR Center CurrentSince Aug 1, 2022 Accepting new patients
Leigh Ann Ware, RN, CPNP, PC Pediatrics Past Accepting new patients
BB Pediatrics, P.C. Pediatrics Past Accepting new patients

Locations

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1972506251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N SMITH ST.",
            "address_2": "PO BOX 947",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "78064",
            "telephone_number": "830-281-8367",
            "fax_number": "830-569-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N SMITH ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644109",
            "telephone_number": "830-281-8367",
            "fax_number": "830-569-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "236882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161370505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161370504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161370506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

Verify at the official NPI Registry.