Active NPI
Jorge Luis De Leon, FNP-C
- Family Nurse Practitioner
- Taylor, TX
National Provider Identifier
1326626656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1028681
- Practice address
- 1001 Welch
Taylor, TX 76574-4007 - Phone
- (512) 218-3187
- NPI assigned
- Mar 30, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1028681 | TX | Primary |
Addresses
Primary practice location
1001 Welch
Taylor, TX 76574-4007
Mailing address
1101 Wootton Pkwy Ste 300
Rockville, MD 20852-1066
Phone (240) 453-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028681 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1326626656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 WOOTTON PKWY STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521066",
"telephone_number": "240-453-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WELCH",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765744007",
"telephone_number": "512-218-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1028681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.