Individual provider Active NPI

Leslie R Villarrubia, DNP, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1861605560
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857919 Issued in MS
Practice address
410 Council Cir
Tupelo, MS 38801-4938
Phone
(662) 377-2500
Fax
(662) 377-2069
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R857919 MS Primary

Addresses

Primary practice location

410 Council Cir
Tupelo, MS 38801-4938

Mailing address

PO Box 4087
Tupelo, MS 38803-4087
Phone (662) 844-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000203 MS Practitioner - Nurse Practitioner 2769665322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

845 S Madison
Tupelo, MS 38801-4905
Phone (601) 790-5025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medcial Center, Inc. CurrentSince Aug 22, 2022 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Aug 22, 2022 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jun 1, 2011 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jun 1, 2011 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
Mark Devin Shepherd Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

1913 Highway 45 N
Columbus, MS 39705
Phone (662) 328-1918

202 Main St
Ecru, MS 38841
Phone (662) 489-4345

400 Doctors Dr
New Albany, MS 38652
Phone (662) 534-5036

2530 Jackson Ave W
Oxford, MS 38655
Phone (662) 236-5905

345 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-7430

410 Council Cir
Tupelo, MS 38801
Phone (662) 377-2500

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1861605560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4087",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388034087",
            "telephone_number": "662-844-8414",
            "fax_number": "662-844-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 COUNCIL CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014938",
            "telephone_number": "662-377-2500",
            "fax_number": "662-377-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARRUBIA",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "DNP, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.