Active NPI
Tallulah Lesbordes
- Licensed Practical Nurse
- East Wareham, MA
National Provider Identifier
1821289422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN90735
- Practice address
- 3088 Cranberry Hwy Ste a
East Wareham, MA 02538-4800 - Phone
- (781) 726-2983
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN90735 | MA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
3088 Cranberry Hwy Ste a
East Wareham, MA 02538-4800
Mailing address
2 Meadow LN Apt 12
Bridgewater, MA 02324-1804
Phone (781) 726-2983
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 |
|---|---|---|---|
| LN90735 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1821289422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEADOW LN APT 12",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241804",
"telephone_number": "781-726-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3088 CRANBERRY HWY STE A",
"city": "EAST WAREHAM",
"state": "MA",
"postal_code": "025384800",
"telephone_number": "781-726-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESBORDES",
"first_name": "TALLULAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN90735",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.