Active NPI
Dat Thanh Le, FNP-C
- Family Nurse Practitioner
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN240213
- Practice address
- 2555 Enterprise Rd Ste 3
Clearwater, FL 33763-1104 - Phone
- (813) 692-6091
- NPI assigned
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN240213 | GA | Primary |
| Nurse Practitioner | 363L00000X | 202026 | ND | |
| Family Nurse Practitioner | 363LF0000X | 16812 | WI |
Addresses
Primary practice location
2555 Enterprise Rd Ste 3
Clearwater, FL 33763-1104
Mailing address
2555 Enterprise Rd Ste 3
Clearwater, FL 33763-1104
Phone (813) 692-6091
Other practice location 1
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, ND, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
- CHI St Alexius Health Williston
- Guthrie County Hospital
- Yukon Kuskokwim Delta Reg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN240213 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revival Wound Specialists LLC | Nurse Practitioner | Current | Accepting new patients |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Medlife Urgent Care LLC | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Medlife Healthcare LLC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Phoebe Sumter Medical Center, Inc. | Current | Accepting new patients | |
| Mercy Home Care | Current | Accepting new patients | |
| Phoebe Sumter Medical Center, Inc | Current | Accepting new patients | |
| Hightower Emergency Group, PC | Nurse Practitioner | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2129 Friendship Rd
Ste 100
Buford, GA 30519
Phone (770) 209-2787
345 Huntington Place Ct
Ste 200B
McDonough, GA 30253
Phone (678) 993-0820
5825 Buford Hwy
Ste 400
Norcross, GA 30071
Phone (678) 993-0820
5825 Buford Hwy
Ste 300
Norcross, GA 30071
Phone (678) 782-6920
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
3369 Solutions Ctr
Chicago, IL 60677
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Interoperability endpoints
- dle1178253@direct.unitypoint.org
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Thomaston, GA
- NPI 1790285815
Nurse Practitioner
-
- Family Medicine Physician
- Flowery Branch, GA
- NPI 1558974709
-
- Urgent Care Clinic/Center
- McDonough, GA
- NPI 1083249114
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
Nurse Practitioner
-
- Nurse Practitioner
- Perry, GA
- NPI 1689531709
-
- Home Health Agency
- Williston, ND
- NPI 1871593723
-
- Rural Health Clinic/Center
- Ellaville, GA
- NPI 1376778001
-
- Anatomic Pathology & Clinical Pathology Physician
- Waupaca, WI
- NPI 1861434631
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guthrie Center, IA
- NPI 1366414534
-
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1194397265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 ENTERPRISE RD STE 3",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337631104",
"telephone_number": "813-692-6091",
"fax_number": "813-423-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 ENTERPRISE RD STE 3",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337631104",
"telephone_number": "813-692-6091"
}
],
"practiceLocations": [
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "715-258-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "DAT",
"middle_name": "THANH",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN240213",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "202026",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "16812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.