Individual provider Active NPI

Cassandra Melanie Leate, DNP, RN, ANP, ACNS

  • Adult Health Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1992776561
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1112406 Issued in TX
Practice address
2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737
Phone
(469) 898-8255
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1176213 VA
Adult Health Nurse Practitioner 363LA2200X 0024171794 VA
Adult Health Clinical Nurse Specialist 364SA2200X 0015001083 VA
Adult Health Nurse Practitioner 363LA2200X 1112406 TX Primary

Addresses

Primary practice location

2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737

Mailing address

3412 Dunbar CT
The Colony, TX 75056-6432
Phone (321) 578-1837

Other practice location 1

PSC 827
Apo, AE 09617
IT
Phone (081) 811-6471

Other practice location 2

1271 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-8881

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
I20230919004367 TX Practitioner - Nurse Practitioner 2961866231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

2110 N Galloway Ave
Suite 116
Mesquite, TX 75150-5737
Phone (972) 426-5426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1176213VAMDRegistered Nurse
1112406TXMDAdult Health Nurse Practitioner
0024171794VAMDAdult Health Nurse Practitioner
0015001083VAMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2110 N Galloway Ave
Ste 116
Mesquite, TX 75150
Phone (972) 426-5426

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1992776561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 DUNBAR CT",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566432",
            "telephone_number": "321-578-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N GALLOWAY AVE STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505737",
            "telephone_number": "469-898-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 827",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09617",
            "country_code": "IT",
            "telephone_number": "081-811-6471",
            "country_name": "Italy",
            "address_type": "FGN"
        },
        {
            "address_1": "1271 Admiral Taussig Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23511",
            "country_code": "US",
            "telephone_number": "757-953-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEATE",
        "first_name": "CASSANDRA",
        "middle_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "DNP, RN, ANP, ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "1176213",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171794",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VA",
            "license": "0015001083",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1112406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.