Tina Leslie-Watson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08471 Issued in LA

Practice address

13242 Cypress Swamp Dr
Geismar, LA 70734-3062

Phone

(225) 229-3552

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Gabriel Health Clinic Inc

  • Family Medicine Physician
  • Saint Gabriel, LA
  • NPI 1093874000
  NPD
• St Gabriel Health Clinic Inc

  dba Gardere Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1962777136
  NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1215397336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 CYPRESS SWAMP DR",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343062",
            "telephone_number": "225-229-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 CYPRESS SWAMP DR",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343062",
            "telephone_number": "225-229-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE-WATSON",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08471",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN106703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jackson, PT, DPT
• Allysia McKenzie James, M.A., CCC-SLP
• Lara-Jeanne Kling
• Christie Klingman
• Leo Paul Leblanc III, PHARMD
• Louisiana Internal Medicine Associates, LLC
• Tammi E Marshall, CCC-SLP
• Elizabeth Nance Melancon, MSN, FNP-C
• Mending Minds Behavioral Health, LLC
• Hisham Nazir Mohamed, PTA

• Family Nurse Practitioner in Geismar, LA
• Providers in Geismar, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.