Leslie Tualla

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

695870 Issued in CA

Practice address

5635 Adobe Spring Way
Elk Grove, CA 95758-5737

Phone

(747) 324-0728

NPI assigned

Jul 12, 2024

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1750128005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-627-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 ADOBE SPRING WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585737",
            "telephone_number": "747-324-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUALLA",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "695870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslie.tualla@pharmerica.com",
            "affiliation": "N",
            "address_1": "5635 Adobe Spring Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957585737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslie.tualla@pharmerica.com",
            "affiliation": "N",
            "address_1": "5635 Adobe Spring Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957585737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quyen The Truong, OD
• Derek Lamont Tryial
• Thomas Tsai, PT
• Vivien Y Tseng, MD
• Tsuchida Dental Professional Corporation
• Tubsafe Inc
• Catherine Tucker
• Emily Michelle Tucker
• Elizabeth Tulawan
• Kelsey Tumiel, PSY.D

• Licensed Vocational Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.