MRS. LESLIE FUENTES (NPI# 1497009138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497009138 |
Entity Type | Individual |
Full Name | MRS. LESLIE FUENTES |
Credential | CPNP |
Practice Address |
2817 Reilly Rd Womack Army Medical Center Fort Bragg NC 28310 |
Practice Telephone | 9109078922 |
Mailing Telephone | 9109078922 |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60308167 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215334552 | Leslie Fuentes | Case Manager/Care Coordinator | 12130 Paramount Blvd, Downey, CA 90242-2339 | 2014-12-02 |
Street Address |
2817 REILLY RD WOMACK ARMY MEDICAL CENTER |
City | FORT BRAGG |
State | NC |
Zip Code | 28310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982693792 | Colin M Greene | Family Medicine | 2817 Reilly Rd, Wamc Attn: Dccs, Fort Bragg, NC 28310-7324 | 2005-10-14 |
1720602824 | James Harter | Military Health Care Provider | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-04 |
1952925448 | John Kevin Fitzpatrick | Student in an Organized Health Care Education/Training Program | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-01 |
1396392601 | Alison Elizabeth Berglund | Physical Therapist | 2817 Reilly Rd, Fort Bragg, NC 28310 | 2019-08-21 |
1174091946 | Kerri Ann Henderson | Physical Therapist | 2817 Reilly Rd, Fort Bragg, NC 27332 | 2018-11-09 |
1487001483 | Janessa Renee England | Dermatology | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2016-05-19 |
1174998652 | Jessica Oseguera Emswiler | Pharmacist | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2015-12-09 |
1124422670 | Carrie E Lutzen | Nurse Practitioner | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2014-10-13 |
1609281997 | Boonyapa Purt | Dentist | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2014-06-25 |
1194033506 | Angela Weston Feldtmann | Student in an Organized Health Care Education/Training Program | 2817 Reilly Rd, Fort Bragg, NC 28317 | 2010-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
Find all providers in zip 28310 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891768412 | Patricia Anne Collins | Nurse Practitioner | 2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2006-02-13 |
1124064084 | Laura B. Pressley | Nurse Practitioner | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
Find all providers with the same taxonomy |
City | FORT BRAGG |
Zip Code | 28310 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.