Individual provider Active NPI

Leslie Carol Casachahua Siesquen, FNP-C

  • Family Nurse Practitioner
  • Jarrell, TX
National Provider Identifier
1750961132
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033714 Issued in TX
Practice address
180 Town Center Blvd Ste 400
Jarrell, TX 76537-4007
Phone
(512) 588-1501
NPI assigned
Apr 10, 2021
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1033714 TX Primary

Addresses

Primary practice location

180 Town Center Blvd Ste 400
Jarrell, TX 76537-4007

Mailing address

1750 Timber Ridge Rd Apt 118
Austin, TX 78741-5574
Phone (207) 712-0962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas State University Student Health Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1750961132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TIMBER RIDGE RD APT 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787415574",
            "telephone_number": "207-712-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TOWN CENTER BLVD STE 400",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765374007",
            "telephone_number": "512-588-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACHAHUA SIESQUEN",
        "first_name": "LESLIE",
        "middle_name": "CAROL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrell, TX

Sources for this page

Verify at the official NPI Registry.