Individual provider Active NPI

Leslie Dupont, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1932646940
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133123 Issued in TX
Practice address
1714 SW Military Dr Ste 108
San Antonio, TX 78221-1418
Phone
(210) 998-4767
Fax
(210) 314-5044
NPI assigned
Jan 28, 2017
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 613211 CA
Family Nurse Practitioner 363LF0000X 0024174715 VA
Family Nurse Practitioner 363LF0000X AP133123 TX Primary
Registered Nurse 163W00000X 0001279401 VA
Registered Nurse 163W00000X 854699 TX

Addresses

Primary practice location

1714 SW Military Dr Ste 108
San Antonio, TX 78221-1418

Mailing address

14100 San Pedro Ave Ste 412
San Antonio, TX 78232-2009
Phone (210) 281-8669

Other practice location 1

6510 Folsom Dr
Beaumont, TX 77706-7274
Phone (409) 832-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220603000197 TX Practitioner - Nurse Practitioner 8628336526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
613211CAMDRegistered Nurse
854699TXMDRegistered Nurse
0001279401VAMDRegistered Nurse
AP133123TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc CurrentSince May 24, 2022 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince May 24, 2022 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Community Radiology Associates P a PastSince Jan 24, 2021 Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC PastSince Jan 24, 2021 Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Interoperability endpoints

  • Direct secure messaging: leslie.dupont@commsa.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1932646940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW MILITARY DR STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211418",
            "telephone_number": "210-998-4767",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 Folsom Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777067274",
            "country_code": "US",
            "telephone_number": "409-832-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "LESLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "613211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133123",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001279401",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "854699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.