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Export Provider Record NPI 1164948188
Anastacia Lynn LeatherwoodFNP
Active
NPI Number1164948188
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1164948188
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-08-22
Last Updated2017-08-22
Mailing Address2215 Nashville Ave
Lubbock, TX 79410-1105
United States
Phone: (806) 725-4800 | Fax: (806) 723-6532
📍 View Map
Primary Practice Address9812 Slide Rd
Lubbock, TX 79424-5781
United States
Phone: (806) 725-8400 | Fax: (806) 783-3031
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyTXAP134828
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About NPI 1164948188

Anastacia Lynn Leatherwood FNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164948188. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Lubbock, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-08-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164948188?

NPI 1164948188 belongs to Anastacia Lynn Leatherwood FNP, a Nurse Practitioner, Family in Lubbock, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164948188 active?

The current status of NPI 1164948188 in the NPPES registry is Active. The record was last updated on 2017-08-22.

What specialty is NPI 1164948188?

NPI 1164948188 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164948188?

You can verify NPI 1164948188 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164948188?

The primary practice address on file for NPI 1164948188 is 9812 Slide Rd, Lubbock, TX 79424-5781. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164948188 issued?

NPI 1164948188 was first issued (enumerated) on 2017-08-22. The NPPES record was last updated on 2017-08-22.

Practice Location Map

Anastacia Lynn Leatherwood is located at 9812 Slide Rd, Lubbock, TX. Use the map below to find directions or verify the practice location.

📍 9812 Slide Rd, Lubbock, TX 79424-5781  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Anastacia Lynn Leatherwood. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164948188. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, FamilyAP134828TX
Data Verified from CMS NPPES Last synced: 2026-07-08 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162