Fabiola De Leon

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

1801 Locust St
Dakota City, NE 68731-5068

Phone

(402) 987-3363

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• So Sioux City Community Schools

  • Local Education Agency (LEA)
  • South Sioux City, NE
  • NPI 1821759507
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1063123750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763740",
            "telephone_number": "402-494-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LOCUST ST",
            "city": "DAKOTA CITY",
            "state": "NE",
            "postal_code": "687315068",
            "telephone_number": "402-987-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "FABIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ssccardinals.org",
            "affiliation": "N",
            "endpointDescription": "school website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.ssccardinals.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ssccardinals.org",
            "address_1": "1801 Locust St",
            "city": "Dakota City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687315068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yadira Arrez
• Andrea Mae Babcock
• County of Dakota
• County of Dakota
• Dakota City Volunteer Fire Department Inc. of Dakota City, Nebraska
• Family First Dental Associates of West Point, P.C.
• Lidia Garcia
• Danielle Janice Lane
• Carolina Lupercio Villavicencio
• Yatzari Marquez

• Technician in Dakota City, NE
• Providers in Dakota City, NE by specialty
• Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.