Individual provider Active NPI

Leslie Burton, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1134497811
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011839 Issued in PA
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

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001697 PA Order and Referring Only - Nurse Practitioner 0941467898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011839PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.