Individual provider Active NPI

Leslie A. Brown, CNM

  • Advanced Practice Midwife
  • Allen, TX
National Provider Identifier
1073679536
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
657296 Issued in TX
Practice address
406 W Main St
Allen, TX 75013-2714
Phone
(214) 495-9911
Fax
(214) 495-9918
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 657296 TX Primary

Addresses

Primary practice location

406 W Main St
Allen, TX 75013-2714

Mailing address

406 W Main St
Allen, TX 75013-2714
Phone (214) 495-9911

Other identifiers 1

IdentifierTypeStateIssuer
197444601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000422 TX Practitioner - Certified Nurse Midwife (CNM) 9830250422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
657296TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Advanced Practice Midwife CurrentSince Sep 3, 2014 Accepting new patients
Dallas County Hospital District CurrentSince Sep 3, 2014 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Birthing Associates, PLLC Advanced Practice Midwife Past Accepting new patients
Allen Birthing Center Past Accepting new patients

Locations

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1073679536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132714",
            "telephone_number": "214-495-9911",
            "fax_number": "214-495-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132714",
            "telephone_number": "214-495-9911",
            "fax_number": "214-495-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "657296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197444601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.