Active NPI
Leilin Elizabeth Briscoe, LVN
- Licensed Vocational Nurse
- San Bernardino, CA
National Provider Identifier
1790291839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 695083
- Practice address
- 1173 N D St
San Bernardino, CA 92410-3523 - Phone
- (909) 884-0840
- NPI assigned
- Dec 27, 2017
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 695083 | CA | Primary |
Addresses
Primary practice location
1173 N D St
San Bernardino, CA 92410-3523
Mailing address
7087 Wheeler CT
Fontana, CA 92336-3240
Phone (909) 684-2479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W238027277 | Other | CA | AETNA |
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 |
|---|---|---|---|
| 695083 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1790291839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7087 WHEELER CT",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363240",
"telephone_number": "909-684-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103523",
"telephone_number": "909-884-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "LEILIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "695083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W238027277",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.