Leslie Prestenbach, FNP
Individual provider Active NPI Family Nurse Practitioner · Luling, LA
NPI 1962811208 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1962811208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APO7977 (LA)
- Practice address
- 843 Milling Ave
Luling, LA 70070-4442 - Phone
- (985) 307-1600
- Fax
- (504) 575-3691
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141204001272 | LA | Practitioner - Nurse Practitioner | 8325360266 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO7977 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upward Health of la Professional Medical Corporation | Current |
Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current |
Accepting new patients | |
| Act One Health, LLC | Current |
Accepting new patients | |
| Westcare Medical Center, Inc | Current |
Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients |
Locations
1012 S Acadian Twy
Ste 10
Baton Rouge, LA 70806
Phone (225) 442-9100
1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711
6221 S Claiborne Ave
Ste 537
New Orleans, LA 70125
Phone (934) 758-4020
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
1514 Jefferson Hwy
New Orleans, LA 70121
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225
Interoperability endpoints
- leslie.prestenbach.1@15578.direct.athenahealth.com
- lprestenbach471221@direct.ochsner.org
- https://fhir4.healow.com/fhir/r4/GABFAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APO7977 | LA | Yes |
Addresses
Primary practice location
843 Milling Ave
Luling, LA 70070-4442
Mailing address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2377116 | Medicaid | LA | |
| 03684747 | Medicaid | MS |
Other providers in Luling, LA
- Lindsey Pherribo
- Alyce Richard Phillips
- Brandi Duffourc Porche
- Matthew M Powers
- Premier Rehab
- Darrell J Price
- Emerite Comboy Pujol
- R & K Loyalty Transportation LLC
- Casey Rahaley
- Regional Home Care South,LLC
All providers in Luling, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.