TRACY LEACH NNP-BC NPI 1144662032

NPI Information

  • NPI: 1144662032
  • Provider Name: TRACY LEACH, NNP-BC
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 707 HOLLYBROOK DR
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 757-6042

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NPI Details

Tracy Leach, NNP-BC is a neonatal nurse practitioner in Longview, TX. Tracy Leach, NNP-BC NPI is 1144662032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 HOLLYBROOK DR
LONGVIEW, TX
ZIP 75605-410
Phone: (903) 757-6042

The NPI 1144662032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0000XNurse PractitionerNeonatalAP124269TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1325841004MEDICAIDTEXAS
275-2616977-042OTHERTEXASTRICARE
3P01813068OTHERTEXASRAIL ROAD MEDICARE
48401MCOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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