MS. PAULA SUE LEATHERS (NPI# 1477710218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477710218 |
Entity Type | Individual |
Full Name | MS. PAULA SUE LEATHERS |
Credential | NNP-BC |
Practice Address |
800 W 4th St Odessa TX 79763-4368 |
Mailing Address |
401 Jim Sharp Blvd Kermit TX 79745-5229 |
Practice Telephone | 4323355270 |
Mailing Telephone | 4325862483 |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
508314 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
800 W 4TH ST |
City | ODESSA |
State | TX |
Zip Code | 79763-4368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659733301 | Paul Alan Fickey Jr. | Surgery | 800 W 4th St, Odessa, TX 79763-4368 | 2016-03-22 |
1922449412 | Mariam M Khan | Family Medicine | 800 W 4th St, Odessa, TX 79763-4368 | 2013-07-11 |
1831303833 | Joyce M Miller | Nurse Practitioner | 800 W 4th St, Odessa, TX 79763-4368 | 2007-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
Find all providers in zip 79763 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912323106 | Amanda Hughes | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2014-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
1538793161 | Torey Shay Cortez | Nurse Practitioner | 762 Annette Dr, Fort Worth, TX 76108-4562 | 2020-02-21 |
1356672679 | Margaret Mary Brown | Nurse Practitioner | 2322 Sycamore Trl, Round Rock, TX 78664-7766 | 2010-01-26 |
1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
1013923051 | Gina Marie Harris | Nurse Practitioner | 601 E 15th St # L502, Austin, TX 78701-1930 | 2006-07-31 |
1447266457 | Suzanne N. Backenstose | Nurse Practitioner | 1604 Rock Prairie Road, College Station Medical Center, College Station, TX 77845-8345 | 2006-07-31 |
1306889977 | Laura Jean Isaacson | Nurse Practitioner | 1819 La Branch St, Houston, TX 77002-8319 | 2006-06-13 |
1538124086 | Michael Lalli | Nurse Practitioner | 1303 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-04-19 |
1447213293 | Donna R Enderle | Nurse Practitioner | Baylor Hospital - 3 Hob, 3500 Gaston Avenue, Dallas, TX 75248 | 2006-04-11 |
1922061266 | Mark Vollmer | Nurse Practitioner | 2511 Burlington Blvd, Dallas, TX 75211-5322 | 2006-04-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.