{
"Npi": {
"NPI": "1487278842",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JOHNSTON",
"FirstName": "LEAH",
"MiddleName": "SANCHEZ",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "P.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SANCHEZ",
"OtherFirstName": "LEAH",
"OtherMiddleName": "MICHELLE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "P.A",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "430 W SUNSET RD STE 900",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78209-1770",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-374-5066",
"MailingAddressFaxNumber": "844-965-9528",
"FirstLinePracticeLocationAddress": "430 W SUNSET RD STE 900",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN ANTONIO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78209-1770",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-374-5066",
"PracticeLocationAddressFaxNumber": "844-965-9528",
"EnumerationDate": "06/02/2020",
"LastUpdateDate": "06/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "PA14147",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "PA14147",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}