Active NPI
Lauren Leblanc, RN, ACNP
- Acute Care Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 743297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 743297 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Daniel Dalton Dubose, MD, PA | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Willow Park, TX
- NPI 1104451079
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.