Individual provider Active NPI

Lauryn Caitlin Leslie, APRN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1194288266
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202661 Issued in LA
Practice address
2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404
Phone
(337) 494-2750
Fax
(337) 494-2760
NPI assigned
Apr 7, 2019
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 202661 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404

Mailing address

PO Box 122309 Dept 2309
Dallas, TX 75312-0001
Phone (373) 494-2921

Other identifiers 1

IdentifierTypeStateIssuer
6V2720OtherLAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thekidneyclinic@bellsouth.net The Kidney Clinic LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190904001407 LA Practitioner - Nurse Practitioner 0941539779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Pulmonary Associates of Southwest LouisianaGroup PAC ID 0446439939, 9 clinicians

Practice addresses (Care Compare)

2770 3Rd Ave
Suite 350
Lake Charles, LA 70601-0404
Phone (337) 494-2750

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Pulmonary Associates of Southwest Louisiana CurrentSince Aug 1, 2024 Accepting new patients
The Kidney Clinic LLC CurrentSince May 4, 2019 Accepting new patients
Radiology Associates of Southwest Louisiana Past Accepting new patients
Lake Charles Medical Services Inc Past Accepting new patients

Locations

2770 3rd Ave
Lake Charles, LA 70601
Phone (337) 494-2674

2770 3rd Ave
Ste 350
Lake Charles, LA 70601
Phone (337) 494-2750

3021 Lake St
Lake Charles, LA 70601
Phone (337) 494-7090

333 Dr Michael Debakey Dr
Ste 140
Lake Charles, LA 70601
Phone (337) 494-7090

Interoperability endpoints

  • Direct secure messaging: lleslie5286172@direct.casso.us.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1194288266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122309 DEPT 2309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "373-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 350",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-2750",
            "fax_number": "337-494-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "LAURYN",
        "middle_name": "CAITLIN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6V2720",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thekidneyclinic@bellsouth.net",
            "affiliation": "Y",
            "endpointDescription": "The Kidney Clinic Business Email",
            "affiliationName": "The Kidney Clinic LLC",
            "address_1": "333 Doctor Michael Debakey Dr Ste 140",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706015889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.