LESLIE D BEALE (NPI# 1962607234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962607234 |
| Entity Type | Individual |
| Full Name | LESLIE D BEALE |
| Credential | PNP |
| Practice Address |
701 Matlock Rd Mansfield TX 76063-9164 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 8174535437 |
| Practice Fax Number | 8174532714 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
658280 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 287698902 | 01 |
| TX | 287698901 | 05 |
| Street Address |
701 MATLOCK RD |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411559 | Tammie Joan Kramer | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2006-10-17 |
| 1942656863 | Kristina Marie Reed | Pediatrics | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2016-05-10 |
| 1073858338 | Heather Lynne Hurford | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2012-11-27 |
| 1578861779 | Melissa Dawn Crocker | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2011-03-11 |
| 1831348457 | Rose C Adams | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2008-09-18 |
| 1952509317 | Julie Michelle Mayo | Physician Assistant | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2007-07-06 |
| 1508060179 | Laurie P Gray | Pediatrics | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2007-06-14 |
| 1003998865 | Clive G Daniels | Pediatrics | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2006-10-20 |
| 1346322104 | Robert W Mann | Pediatrics | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2006-10-20 |
| 1275615692 | Melvin T Joki | Pediatrics | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1528316551 | Bumps N' Bruises Pediatric Urgent Care Center | Nurse Practitioner | 2251 Matlock Rd, Mansfield, TX 76063-3825 | 2012-08-23 |
| 1528276391 | Tara Lyn Coleman | Nurse Practitioner | 454 Chauncy St, Mansfield, MA 02048-1110 | 2007-05-18 |
| 1720581168 | Lindsay Thatcher | Nurse Practitioner | 706 Hunters Row Ct, Mansfield, TX 76063-4001 | 2018-03-12 |
| 1417489725 | Danielle Kreais | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2017-03-28 |
| 1003235672 | Lacy Pitchford | Nurse Practitioner | 801 Matlock Rd, Mansfield, TX 76063 | 2014-04-10 |
| 1750700324 | Stephanie Segelstrom | Nurse Practitioner | 801 Matlock Rd, Mansfield, TX 76063 | 2014-04-10 |
| 1659797611 | Christie Lea | Nurse Practitioner | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2014-03-13 |
| 1073858338 | Heather Lynne Hurford | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2012-11-27 |
| 1871873844 | Jennifer Lee Harris | Nurse Practitioner | 454 Chauncy St, Mansfield, MA 02048-1110 | 2011-08-23 |
| Find all providers in MANSFIELD | ||||
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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.