Individual
TRACY LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP124269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325841004
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8401MC
BCBS
TX
01
—
P01813068
RAIL ROAD MEDICARE
TX
Enumeration date
07/22/2013
Last updated
10/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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