Individual provider Active NPI

Teresa M. Lebouvier, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1801007158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN 374821 Issued in CA
Practice address
15725 Whittier Blvd
Whittier, CA 90603-2347
Phone
(562) 947-8478
Fax
(562) 947-2238
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN 374821 CA Primary

Addresses

Primary practice location

15725 Whittier Blvd
Whittier, CA 90603-2347

Mailing address

15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-8478

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 Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 374821CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801007158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032347",
            "telephone_number": "562-947-8478",
            "fax_number": "562-947-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032347",
            "telephone_number": "562-947-8478",
            "fax_number": "562-947-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOUVIER",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "RN 374821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.