Individual provider Active NPI

Leslie S Kushner, C.N.M.

  • Midwife
  • Painesville, OH
National Provider Identifier
1033478045
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001945 Issued in NY
Practice address
54 S State St
Suite 203
Painesville, OH 44077-3445
Phone
(440) 352-0608
Fax
(440) 352-0640
NPI assigned
May 10, 2012
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X COA.13031-NM OH
Midwife 176B00000X 001945 NY Primary

Addresses

Primary practice location

54 S State St
Suite 203
Painesville, OH 44077-3445

Mailing address

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150812008476 OH Practitioner - Certified Nurse Midwife (CNM) 3476868977 Reassigns benefits to 2 organizations
I20191024002129 NY Practitioner - Certified Nurse Midwife (CNM) 3476868977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001945NYMDDrama Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry CurrentSince Jul 1, 2015 Accepting new patients
Third Street Community Clinic, Inc CurrentSince Aug 30, 2024 Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Aug 30, 2024 Accepting new patients
Refuah Health Center Inc CurrentSince Jun 26, 2023 Accepting new patients
Lorain County Health & Dentistry CurrentSince Jul 1, 2015 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jun 26, 2023 Accepting new patients
RX Consultant Pharmacy Inc Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

728 N Main St
Ste C
New Square, NY 10977
Phone 84535493001826

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

260 S Main St
Oberlin, OH 44074

1404 Park Ave W
Ste 2
Ontario, OH 44906

Interoperability endpoints

  • Direct secure messaging: leslie.kushner.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 7

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1033478045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109778916",
            "telephone_number": "845-354-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S STATE ST",
            "address_2": "SUITE 203",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773445",
            "telephone_number": "440-352-0608",
            "fax_number": "440-352-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.13031-NM",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.