Individual provider Active NPI

Leonard Steven Bauling, ARNP MN FNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1801960463
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9465254 Issued in FL
Practice address
2830 Bee Ridge Rd
Sarasota, FL 34239-7115
Phone
(941) 927-1234
Fax
(941) 921-0043
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN1309 HI
Family Nurse Practitioner 363LF0000X 264640-1806 CA
Family Nurse Practitioner 363LF0000X 07904246N1 OR
Family Nurse Practitioner 363LF0000X ARNP9465254 FL Primary
Adult Health Nurse Practitioner 363LA2200X ARNP9178533 FL

Addresses

Primary practice location

2830 Bee Ridge Rd
Sarasota, FL 34239-7115

Mailing address

1626 Brookhouse Dr Apt Br235
Sarasota, FL 34231-1909
Phone (941) 587-1148

Other practice location 1

808 E Venice Ave
Venice, FL 34285-7039
Phone (941) 412-3800

Other identifiers 3

IdentifierTypeStateIssuer
R167822OtherORMEDICARE PTAN
308774300MedicaidFL
FM388ZOtherHIPTAN

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16629ORMDMassage Therapist
ARNP9178533FLMDAdult Health Nurse Practitioner
264640-1806CAMDFamily Nurse Practitioner
ARNP9465254FLMDFamily Nurse Practitioner
APRN1309HIMDFamily Nurse Practitioner
07904246N1ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Technological Radiology, PA Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Sarasota Immediate Care Inc PastSince Jan 3, 2007 Accepting new patients
Pride Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1801960463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 BROOKHOUSE DR APT BR235",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342311909",
            "telephone_number": "941-587-1148",
            "fax_number": "941-921-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397115",
            "telephone_number": "941-927-1234",
            "fax_number": "941-921-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342857039",
            "country_code": "US",
            "telephone_number": "941-412-3800",
            "fax_number": "941-486-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAULING",
        "first_name": "LEONARD",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "ARNP MN FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "264640-1806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "07904246N1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9465254",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9178533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R167822",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308774300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FM388Z",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.