Lesley Lynne Nairn, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Lake Jackson, TX
NPI 1003457029 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1003457029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- AP143248 (TX)
- Practice address
- 207 That Way St Ste a-1
Lake Jackson, TX 77566-5211 - Phone
- (979) 297-7337
- Fax
- (979) 266-9076
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230530001478 | TX | Practitioner - Nurse Practitioner | 2264899640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143248 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current |
Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
2309 W Mulberry St
Angleton, TX 77515
Phone (979) 849-6467
146 E Hospital Dr
Ste 106
Angleton, TX 77515
Phone (979) 849-9557
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
215 Oak Dr S
Ste A
Lake Jackson, TX 77566
Phone (979) 297-1241
208 Oak Dr S
Ste 400A
Lake Jackson, TX 77566
Phone (979) 285-2900
208 Oak Dr S
Ste 400
Lake Jackson, TX 77566
Phone (979) 285-2900
10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466
17448 Highway 3
Fl 2
Webster, TX 77598
Phone (832) 505-1748
Interoperability endpoints
- lnairn30104@direct.utmb.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP143248 | TX | Yes |
Addresses
Primary practice location
207 That Way St Ste a-1
Lake Jackson, TX 77566-5211
Mailing address
205 Jefferson St
Clute, TX 77531-1489
Phone (979) 799-8717
Other providers in Lake Jackson, TX
- Mthethuvumile Mpofu
- Josie Mueller
- Perry Mueller
- Paul Munoz
- My Personal Home Care
- National Vision, Inc.
- Nec Lake Jackson Emergency Center, LP
- Linda Renese Neely Shelmire
- Fabiola Negrete
- Morgan Rae Seier Nelson
All providers in Lake Jackson, TX · Pediatric Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.