Active NPI
Leslie Burton, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1134497811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP011839
- Practice address
- 4700 Wissahickon Ave
Suite 119
Philadelphia, PA 19144-4248 - Phone
- (215) 843-9720
- Fax
- (215) 843-7313
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011839 | PA | Primary |
Addresses
Primary practice location
4700 Wissahickon Ave
Suite 119
Philadelphia, PA 19144-4248
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Phone (773) 352-1515
Other practice location 1
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428
Phone (844) 826-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210001697 | PA | Order and Referring Only - Nurse Practitioner | 0941467898 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011839 | PA | MD | Family Nurse Practitioner |
Interoperability endpoints
- leslie.burton.p1@direct.tandigmhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1134497811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746722",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746722",
"telephone_number": "773-352-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"address_2": "SUITE 119",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "215-843-9720",
"fax_number": "215-843-7313"
}
],
"practiceLocations": [
{
"address_1": "300 Four Falls Corporate Center, Suite 260",
"address_purpose": "LOCATION",
"city": "West Conshohocken",
"state": "PA",
"postal_code": "19428",
"country_code": "US",
"telephone_number": "844-826-3446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "LESLIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.