Leslie Bernales, REGISTERED NURSE

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

0001210888 Issued in VA

Practice address

4213 Walney Rd
Chantilly, VA 20151-2923

Phone

(703) 502-7000

Fax

(703) 502-7006

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Poudrier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairfax County, Virginia

  dba Fairfax-Falls Church Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)
• Fairfax Falls Church Community Service Board

  • Substance Abuse Rehabilitation Facility
  • Chantilly, VA
  • NPI 1104161736
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1700119674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 BRICES FORD CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332429",
            "telephone_number": "703-622-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 WALNEY RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512923",
            "telephone_number": "703-502-7000",
            "fax_number": "703-502-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALES",
        "first_name": "LESLIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001210888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "POUDRIER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Smitha Reddy Beeravolu, M.D.
• Amir M Behsudi, CPHT, EMT-B
• Andrea Michelle Beltethon, OTR/L
• Leandri Berent, BEHAVIOR TECHNICIAN
• Mary Beth Valek Bergman, CNP
• Heather Bernhard, LPC
• Best Care & Services LLC
• Rosenlal Betchar, BPHARM
• Shirley F Bethel, D.M.D
• Maria Bettinotti, PHD, FACMG

• Addiction (Substance Use Disorder) Registered Nurse in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.