Individual provider Active NPI

Leslie Wilhite Irby, CPNP

  • Pediatric Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1588091326
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP08761 Issued in LA
Practice address
888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818
Phone
(225) 273-5995
Fax
(225) 273-7475
NPI assigned
Oct 10, 2013
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP08761 LA Primary
Registered Nurse 163W00000X RN151639 LA

Addresses

Primary practice location

888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818

Mailing address

888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818
Phone (225) 273-5995

Other names 1

  • Miss Leslie Anne Wilhite Former name

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN151639LAMDRegistered Nurse
AP08761LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Red Stick Pediatrics Past 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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1588091326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "SUITE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-273-5995",
            "fax_number": "225-273-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "SUITE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-273-5995",
            "fax_number": "225-273-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "LESLIE",
        "middle_name": "WILHITE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP08761",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN151639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "WILHITE",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.