SHANNON DELITE LEAKE (NPI# 1598304115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598304115 |
| Entity Type | Individual |
| Full Name | SHANNON DELITE LEAKE |
| Credential | APRN, FNP-C |
| Practice Address |
727 County Road 1612 Mount Pleasant TX 75455-7535 |
| Practice Telephone | 9033870605 |
| Mailing Telephone | 9033873623 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144577 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BON | AP144577 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1318 S Jefferson Ave, Mt Pleasant, TX 754555355 | 9035721128 | 9035721138 |
| Street Address |
727 COUNTY ROAD 1612 |
| City | MOUNT PLEASANT |
| State | TX |
| Zip Code | 75455-7535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1982239786 | Haylee Amber Eliasson | Nurse Practitioner | 7003 Braun Rd, Mount Pleasant, WI 53403-9743 | 2020-03-12 |
| 1366077737 | Abby Wells Hunter | Nurse Practitioner | 1621 E Broomfield St Ste C, Mount Pleasant, MI 48858-5427 | 2020-03-06 |
| 1033762646 | Megan Ann Seibel | Nurse Practitioner | 6396 Route 819 S, Mount Pleasant, PA 15666-3670 | 2019-07-23 |
| 1902363963 | Rosalia Treto | Nurse Practitioner | 2015 Mulberry Ave Ste 310, Mount Pleasant, TX 75455-2316 | 2019-02-26 |
| 1508352451 | Tyler Moeller | Nurse Practitioner | 107 E Madison St Ste 101, Mount Pleasant, IA 52641-2071 | 2018-07-03 |
| 1790227296 | Jeanette Parker | Nurse Practitioner | 816 High Battery Cir, Mount Pleasant, SC 29464-7879 | 2016-11-15 |
| 1346611670 | Sarah M Slaasted | Nurse Practitioner | 5439 Durand Ave Ste 103, Mount Pleasant, WI 53406-5068 | 2015-10-13 |
| 1669711065 | Carolyn Hazel Larisey-atkinson | Nurse Practitioner | 1978 Sandy Point Ln, Mount Pleasant, SC 29466 | 2013-02-05 |
| 1487990974 | Cathy Mart | Nurse Practitioner | 1125 Landou Lane, Mount Pleasant, SC 29466 | 2013-01-02 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
Please comment or provide details below to improve the information on SHANNON DELITE LEAKE.
| 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.