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Phagen Leeks

Licensed Practical Nurse β€’ Cabot, AR

Active NPI 1336586171 Individual Practitioner Female Practitioner
Practice location in NPPES

2792 S 2nd St Ste B
Cabot, AR 720237064

Call 8709323600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2792 S 2nd St Ste B

Cabot, AR 720237064

Telephone 8709323600
Organization at the Same NPPES Address or Phone
Miracle Kids Success Academy Of Trumann Facility NPI 1063979243

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cabot and Arkansas

4 active clinicians are listed under Licensed Practical Nurse with a practice address in Cabot, AR (789 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES AR 120253

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Specialist

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 02, 2019

Registered at 2792 S 2ND ST STE B, CABOT, AR 720237064 (Tel: 8709323600)

πŸ“
Updated Business Mailing Address August 02, 2019

Registered at 2792 S 2ND ST STE B, CABOT, AR 720237064 (Tel: 8709323600)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Licensed Practical Nurse (license number reported to NPPES: AR 120253)

βœ…
NPI Profile Active April 20, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2016

Registered at 502 E RACE AVE, SEARCY, AR 721434417 (Tel: 5012683400)

πŸ“
Business Mailing Address (Initial Record) April 20, 2016

Registered at 502 E RACE AVE, SEARCY, AR 721434417 (Tel: 5012683400)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2016

Recorded as PHAGEN LEEKS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2016

Specialist

🟒
Initial NPI Registration & Enumeration June 03, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336586171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2013
Last Update: August 02, 2019
Sole Proprietor: No

Mailing Address

2792 S 2nd St Ste B

Cabot, AR 720237064

Phone: 8709323600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.