Individual provider Active NPI

Jacqueline Nga Le, D.O.

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1659311561
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L5017 Issued in TX
Practice address
614 S. Watters Rd.
Suite 101
Allen, TX 75013
Phone
(214) 509-3623
Fax
(214) 509-3620
NPI assigned
Jun 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X L5017 TX Primary

Addresses

Primary practice location

614 S. Watters Rd.
Suite 101
Allen, TX 75013

Mailing address

614 S. Watters Rd.
Suite 101
Allen, TX 75013
Phone (214) 509-3623

Other identifiers 1

IdentifierTypeStateIssuer
175304801MedicaidTX

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
I20050330000840 TX Practitioner - Family Practice 5991751141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 S Watters Rd
Suite 101
Allen, TX 75013-5014
Phone (214) 509-3623

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5017TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Le Salveo Care Corp General Practice CurrentSince Jan 20, 2005 Accepting new patients

Locations

614 S Watters Rd
Ste 101
Allen, TX 75013
Phone (214) 509-3623

Interoperability endpoints

  • Direct secure messaging: jacqueline.le@salveoclinic.ssdirect.aprima.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659311561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S. WATTERS RD.",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "214-509-3623",
            "fax_number": "214-509-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S. WATTERS RD.",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "214-509-3623",
            "fax_number": "214-509-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JACQUELINE",
        "middle_name": "NGA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175304801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.