Kristin Rose Lebrasseur, DO

Individual provider Active NPI Obstetrics & Gynecology Physician · Irving, TX

NPI 1568090942 · NPPES record last updated Jul 5, 2024

Key facts

NPI
1568090942
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
U9584 (TX)
Practice address
3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675
Phone
(972) 256-3700
Fax
(866) 630-6348
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
William Carey University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macarthur Medical Center PLLC (26 clinicians)

Practice addresses (Care Compare)

3501 N Macarthur Blvd
Suite 500
Irving, TX 75062-3675
Phone (972) 256-3700

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240703003002 TX Practitioner - Obstetrics/Gynecology 6002230612 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U9584TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology Current
since Jun 3, 2024
Accepting new patients
Women'S Integrated Healthcare, P.a. Obstetrics & Gynecology Current Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology Current
since Jun 3, 2024
Accepting new patients
Texas Tech University Health Sciences Center Amarillo Past
since Apr 1, 2020
Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients

Locations

2101 Westpark Ct
Ste 200
Euless, TX 76040

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

7200 State Highway 161
Ste 130
Irving, TX 75039
Phone (214) 838-2323

3501 N MacArthur Blvd
Ste 365
Irving, TX 75062

3501 N MacArthur Blvd
Ste 600
Irving, TX 75062
Phone (214) 648-6250

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: klebrasseur290314@ahs.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X U9584 TX Yes

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675

Mailing address

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675
Phone (972) 256-3700

Other practice location 1

7200 State Highway 161 Ste 130
Irving, TX 75039-3829
Phone (972) 256-3700

Other practice location 2

2101 Westpark Ct Ste 200
Euless, TX 76040-3717
Phone (972) 256-3700

Other practice location 3

3095 Kingswood Blvd Ste 250
Grand Prairie, TX 75052-4502
Phone (972) 256-3700

Other practice location 4

3501 N MacArthur Blvd Ste 600
Irving, TX 75062-3651
Phone (972) 256-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 5, 2024.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1568090942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 State Highway 161 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393829",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Westpark Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403717",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3095 Kingswood Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750524502",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 N MacArthur Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623651",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRASSEUR",
        "first_name": "KRISTIN",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

All providers in Irving, TX · Obstetrics & Gynecology Physician in Texas

Sources for this page

Verify at the official NPI Registry.