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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703003002 | TX | Practitioner - Obstetrics/Gynecology | 6002230612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U9584 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macarthur Medical Center, PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Women'S Integrated Healthcare, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Macarthur Medical Center, PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Texas Tech University Health Sciences Center Amarillo | Past |
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
- https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
- klebrasseur290314@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Victoria T Le
- League of Extraordinary Care
- Lindsay Brianne Lear
- Nicholas Fleming Leber
- Kayla Leblanc
- Andrew K. Lee
- Byung J. Lee
- David Joseph Lee
- Jay Lee
- Jung Lee
All providers in Irving, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.