Individual provider Active NPI

Leslie P Bumpas, FNTP

  • Nutritionist
  • Dallas, TX
National Provider Identifier
1538749783
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
5002 Horseshoe TRL
Dallas, TX 75209-3324
Phone
(214) 360-0600
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

5002 Horseshoe TRL
Dallas, TX 75209-3324

Mailing address

5002 Horseshoe TRL
Dallas, TX 75209-3324

Other identifiers 1

IdentifierTypeStateIssuer
00001486OtherWANUTRITIONAL THERAPY ASSOCIATION

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.redeemingwellness.com
CONNECT URL www.redeemingwellness.com
CONNECT URL www.redeemingwellness.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redeeming Wellness LLC Nutritionist PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1538749783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 HORSESHOE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HORSESHOE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093324",
            "telephone_number": "214-360-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPAS",
        "first_name": "LESLIE",
        "middle_name": "P",
        "credential": "FNTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITIONAL THERAPY ASSOCIATION",
            "identifier": "00001486",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.redeemingwellness.com",
            "affiliation": "N",
            "address_1": "5002 Horseshoe Trl",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752093324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.redeemingwellness.com",
            "affiliation": "N",
            "address_1": "5002 Horseshoe Trl",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752093324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.redeemingwellness.com",
            "affiliation": "N",
            "address_1": "5002 Horseshoe Trl",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752093324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, 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.

Verify at the official NPI Registry.