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Active NPI 1326061235 Individual Practitioner Female Practitioner

Leasa L Roach , GNP

Nurse Practitioner - Gerontology • Texarkana, TX

Professional Overview & Biography Verified Profile Summary

Leasa Roach, GNP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Texarkana, TX. Practice services are available at 2407 GALLERIA OAKS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2407 Galleria Oaks Dr

Texarkana, TX 755034676

Telephone 9037944263
Fax 4302004677
Associated Practice Facility / Clinic
🏢 Hospice Of Texarkana, Inc. Facility NPI 1336147669

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Texarkana, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Texarkana, TX (963 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-29
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License TX 114559

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License TX 526631

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
163821758 (AR)
Commercial Insurance / Payer ID License
526631 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
8Y1726 (TX)
Commercial Insurance / Payer ID Bluecross Blueshield
5A158 (AR)
Commercial Insurance / Payer ID Railroad Medicare
P00376988 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 29, 2025

Registered at 2407 GALLERIA OAKS DR, TEXARKANA, TX 755034676 (Tel: 9037944263)

✅
NPI Profile Active September 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2007

Registered at 1205 E 35TH ST, TEXARKANA, AR 718542746 (Tel: 9037355355)

📍
Updated Business Mailing Address September 13, 2007

Registered at 1205 E 35TH ST, TEXARKANA, AR 718542746 (Tel: 9038355355)

👤
Provider Name / Credentials Updated September 13, 2007

Recorded as LEASA ROACH, GNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2007

Nurse Practitioner (License #526631 in TX)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326061235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: December 29, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1205 E 35th St

Texarkana, AR 718542746

Phone: 9038355355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.