Active NPI
Leslie Jeanette Cooper Sullivan, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1023828159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RNP318160
- Practice address
- 426 N 44TH St Ste 405
Phoenix, AZ 85008-6612 - Phone
- (602) 476-2047
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RNP318160 | AZ | Primary |
Addresses
Primary practice location
426 N 44TH St Ste 405
Phoenix, AZ 85008-6612
Mailing address
10646 E Carol Ave
Mesa, AZ 85208-7434
Phone (480) 450-5999
Other names 1
- Leslie Cooper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP318160 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Hospice LLC | Current | Accepting new patients | |
| Palliative Care Alliance, LLC | Current | Accepting new patients | |
| Hospice of the Southwest - West Valley, LLC | Past | Accepting new patients |
Locations
426 N 44th St
Ste 405
Phoenix, AZ 85008
Phone (602) 476-2047
426 N 44th St
Ste 450
Phoenix, AZ 85008
Phone (602) 269-6011
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Tempe, AZ
- NPI 1093137671
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1437277100
-
dba Tucson Community Palliative Care
- Pain Medicine Physician
- Tucson, AZ
- NPI 1235489147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1023828159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10646 E CAROL AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852087434",
"telephone_number": "480-450-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 N 44TH ST STE 405",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086612",
"telephone_number": "602-476-2047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER SULLIVAN",
"first_name": "LESLIE",
"middle_name": "JEANETTE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RNP318160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "COOPER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.