Leslie Stevens Kipp, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136613 Issued in TX

Practice address

1305 Airport Fwy Ste 420
Bedford, TX 76021-6605

Phone

(682) 738-3158

Fax

(682) 738-3111

NPI assigned

Mar 1, 2018

Last updated

Mar 1, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16562/brand/1/csg/1/fhir/r4
• Direct secure messaging: leslie.kipp.1@16562.direct.athenahealth.com

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

• Haider Associates LLC

  • Family Medicine Physician
  • Bedford, TX
  • NPI 1235535105
  Medicare reassignment NPD
• Texacare Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1376090472
  Medicare reassignment NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1144722539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LONGHORN TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481631",
            "telephone_number": "817-988-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 420",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216605",
            "telephone_number": "682-738-3158",
            "fax_number": "682-738-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "LESLIE",
        "middle_name": "STEVENS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kidwell, LCSW
• Paul K Kim, MD
• Kindred Lane Inc
• Carol A King, FNP
• Kathryn Jean Kinne, CRNA
• Traci L Kirkland, PA
• Amy Kirsch, D.C.
• Jacqueline Sue Kleven, DDS
• Ellen Ko-Keeney, D.O.
• Kimberly Ann Koch, NP

• Family Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.

Verify at the official NPI Registry.