Healthcare Provider Details

I. General information

NPI: 1821753583
Provider Name (Legal Business Name): SAUTI J LEDBETTER APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E PLEASANT RUN RD STE B
DESOTO TX
75115-3936
US

IV. Provider business mailing address

412 E PLEASANT RUN RD STE B
DESOTO TX
75115-3936
US

V. Phone/Fax

Practice location:
  • Phone: 469-857-3101
  • Fax: 469-857-3104
Mailing address:
  • Phone: 469-235-1056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP145832
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP145832
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: