Active NPI
Leonard Steven Bauling, ARNP MN FNP
- Family Nurse Practitioner
- Sarasota, FL
National Provider Identifier
1801960463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9465254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R167822 | Other | OR | MEDICARE PTAN |
| 308774300 | Medicaid | FL | |
| FM388Z | Other | HI | PTAN |
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16629 | OR | MD | Massage Therapist |
| ARNP9178533 | FL | MD | Adult Health Nurse Practitioner |
| 264640-1806 | CA | MD | Family Nurse Practitioner |
| ARNP9465254 | FL | MD | Family Nurse Practitioner |
| APRN1309 | HI | MD | Family Nurse Practitioner |
| 07904246N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Technological Radiology, PA | Past | Accepting new patients | |
| Emergency Physician Specialists Inc | Past | Accepting new patients | |
| Sarasota Immediate Care Inc | Past | 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.
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-
- Emergency Medicine Physician
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- NPI 1912973850
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1740416015
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1538239116
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.