LEASA L ROACH GNP
NPI 1326061235
Nurse Practitioner - Gerontology in Texarkana, TX

Active since July 25, 2006
2407 GALLERIA OAKS DR, TEXARKANA, TX 75503(903) 794-4263(430) 200-4677 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leasa L Roach Gnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEASA L ROACH GNP (NPI 1326061235) is an individual gerontology provider in Texarkana, Texas, licensed in Texas (114559) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1326061235
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLEASA L ROACHCredential: GNP
Location Address2407 GALLERIA OAKS DRTexarkana, TX 75503-4676
Mailing Address1205 E 35th StTexarkana, AR 71854-2746 · (903) 835-5355 · Fax (903) 735-5399
Fax(430) 200-4677
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1326061235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in TX · 114559 Licensed in TX · 526631
2407 GALLERIA OAKS DR, Texarkana, TX 75503

Other Identifiers 5

Other526631TX · License
Medicaid163821758AR
Other8Y1726TX · Blue Cross Blue Shield
Other5A158AR · Bluecross Blueshield
OtherP00376988TX · Railroad Medicare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
2407 GALLERIA OAKS DR
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leasa Roach's NPI number?

The NPI number for Leasa Roach is 1326061235. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Leasa Roach located?

Leasa Roach practices at 2407 Galleria Oaks Dr, Texarkana, TX 75503. The listed phone number is (903) 794-4263.

What is Leasa Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Leasa Roach was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.