Individual provider Active NPI

Leslie Kim Perrone, RPH, LAC

  • Acupuncturist
  • Fort Worth, TX
National Provider Identifier
1932408309
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0414 Issued in TX
Practice address
312 W Leuda St
Fort Worth, TX 76104-3306
Phone
(817) 882-9750
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25110 TX
Acupuncturist 171100000X 0414 TX Primary

Addresses

Primary practice location

312 W Leuda St
Fort Worth, TX 76104-3306

Mailing address

312 W Leuda St
Fort Worth, TX 76104-3306
Phone (817) 882-9750

Other names 1

  • Kim Perrone McLaughlin Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0414TXMDAcupuncturist
25110TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1932408309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043306",
            "telephone_number": "817-882-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043306",
            "telephone_number": "817-882-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "LESLIE",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "RPH, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "25110",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "0414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MCLAUGHLIN",
            "middle_name": "PERRONE",
            "credential": "RPH, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.