Individual provider Active NPI

Lauren Leblanc, RN, ACNP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1235568429
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
743297 Issued in TX
Practice address
923 Pennsylvania Ave
100
Fort Worth, TX 76104-2254
Phone
(817) 920-0484
Fax
(817) 920-0068
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 743297 TX Primary

Addresses

Primary practice location

923 Pennsylvania Ave
100
Fort Worth, TX 76104-2254

Mailing address

PO Box 961205
Fort Worth, TX 76161-0205
Phone (817) 740-8400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140208000155 TX Practitioner - Nurse Practitioner 1153550470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Dalton Dubose MD PAGroup PAC ID 3173947215, 2 clinicians

Practice addresses (Care Compare)

201 Crown Pointe Blvd
Suite 200
Willow Park, TX 76087-1304
Phone (817) 989-9733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
743297TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince May 20, 2017 Accepting new patients
Daniel Dalton Dubose, MD, PA CurrentSince Dec 12, 2023 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

923 Pennsylvania Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 806-4245

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

201 Crown Pointe Blvd
Ste 200
Willow Park, TX 76087
Phone (817) 989-9733

201 Crown Pointe Blvd
#D3
Willow Park, TX 76087
Phone (817) 898-9733

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1235568429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-920-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 PENNSYLVANIA AVE",
            "address_2": "100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042254",
            "telephone_number": "817-920-0484",
            "fax_number": "817-920-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "LAUREN",
        "credential": "RN, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "743297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.