Active NPI
Leslie Susan Rendeiro, RN, MSN, CNM
- Advanced Practice Midwife
- Fort Hood, TX
National Provider Identifier
1720047368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 711638
- Practice address
- 36000 Darnall Loop
Attn: Credentials (CMC)
Fort Hood, TX 76544-5095 - Phone
- (254) 288-8387
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 711638 | TX | Primary |
Addresses
Primary practice location
36000 Darnall Loop
Attn: Credentials (CMC)
Fort Hood, TX 76544-5095
Mailing address
289 Eagle Landing Drive
Belton, TX 76513
UM
Phone (254) 780-1934
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 Nurse Midwife, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711638 | TX | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1720047368",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "289 EAGLE LANDING DRIVE",
"city": "BELTON",
"state": "TX",
"postal_code": "76513",
"telephone_number": "254-780-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "ATTN: CREDENTIALS (CMC)",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "254-288-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDEIRO",
"first_name": "LESLIE",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "RN, MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "711638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.