Individual provider Active NPI

Kristin Rose Lebrasseur, DO

  • Obstetrics & Gynecology Physician
  • Irving, TX
National Provider Identifier
1568090942
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U9584 Issued in 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
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

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

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

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: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 8426102625, 26 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jun 3, 2024 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jun 3, 2024 Accepting new patients
Women's Integrated Healthcare, P.a. Obstetrics & Gynecology Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo PastSince Apr 1, 2020 Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Baylor Medical Center at Irving 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 365
Irving, TX 75062

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

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

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

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

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

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, 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": "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": "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": "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"
        },
        {
            "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": "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"
        }
    ],
    "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

Sources for this page

Verify at the official NPI Registry.