Tina Leslie-Watson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Geismar, LA
NPI 1215397336 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1215397336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP08471 (LA)
- Practice address
- 13242 Cypress Swamp Dr
Geismar, LA 70734-3062 - Phone
- (225) 229-3552
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106703 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Gabriel Health Clinic Inc | Current |
Accepting new patients | |
| St Gabriel Health Clinic Inc | Current |
Accepting new patients |
Locations
5760 Monticello Dr
Saint Gabriel, LA 70776
Phone (225) 247-3491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN106703 | LA | |
| Family Nurse Practitioner | 363LF0000X | AP08471 | LA | Yes |
Addresses
Primary practice location
13242 Cypress Swamp Dr
Geismar, LA 70734-3062
Mailing address
13242 Cypress Swamp Dr
Geismar, LA 70734-3062
Phone (225) 229-3552
Other providers in Geismar, LA
- Stephen Jackson
- Allysia McKenzie James
- Lara-Jeanne Kling
- Christie Klingman
- Leo Paul Leblanc III
- Louisiana Internal Medicine Associates, LLC
- Tammi E Marshall
- Elizabeth Nance Melancon
- Mending Minds Behavioral Health, LLC
- Hisham Nazir Mohamed
All providers in Geismar, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.