Active NPI
Lesley Kalle Ayompe, LVN
- Licensed Vocational Nurse
- Stafford, TX
National Provider Identifier
1710487392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 319107
- Practice address
- 12371 S Kirkwood Rd
Stafford, TX 77477-2836 - Phone
- (713) 773-5100
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 319107 | TX | Primary |
Addresses
Primary practice location
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Mailing address
9720 Broadway St Apt 317
Pearland, TX 77584-8456
Phone (940) 337-6549
Other practice location 1
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 773-5100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319107 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1710487392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 BROADWAY ST APT 317",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848456",
"telephone_number": "940-337-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12371 S KIRKWOOD RD",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772836",
"telephone_number": "713-773-5100"
}
],
"practiceLocations": [
{
"address_1": "12371 S Kirkwood Rd",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "TX",
"postal_code": "774772836",
"country_code": "US",
"telephone_number": "713-773-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYOMPE",
"first_name": "LESLEY",
"middle_name": "KALLE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "319107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.