Active NPI
Leslee Ronald Adams, NP
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 330534-4405
- Practice address
- 1055 N 500 W
Ste 211
Provo, UT 84604-3305 - Phone
- (801) 357-7327
- Fax
- (801) 375-8860
- NPI assigned
- Sep 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.0175720 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0991951-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 330534-4405 | UT | Primary |
Addresses
Primary practice location
1055 N 500 W
Ste 211
Provo, UT 84604-3305
Mailing address
4019 W 12600 S
Ste 120
Riverton, UT 84096-7405
Phone (801) 354-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03400255 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Central Utah Clinic, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151120000453 | CO | Practitioner - Nurse Practitioner | 0648570804 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Squires CT
Kernersville, NC 27284-9494
9980 S 300
Suite 310
Sandy, UT 84070-3654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0175720 | CO | MD | Registered Nurse |
| 330534-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Concierge Physicians, LLC | Current | Accepting new patients | |
| Compassionate Concierge Physicians, LLC | Registered Nurse | Current | Accepting new patients |
| Summit Medical Care | Current | Accepting new patients |
Locations
1551 Professional Ln
Ste 102
Longmont, CO 80501
Phone (720) 986-0850
3130 S Highland Dr
Ste B4
Millcreek, UT 84106
777 N 500 W
Ste 103
Provo, UT 84601
Phone (801) 375-6677
12523 S Creek Meadow Rd
Ste 105
Riverton, UT 84065
Phone (801) 337-5855
4019 W 12600 S
Ste 120
Riverton, UT 84096
Phone (801) 273-0100
9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300
2019 E Riverside Dr
Ste A101
St George, UT 84790
Phone (435) 656-1699
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.
-
- Family Medicine Physician
- Provo, UT
- NPI 1881216646
-
- Family Medicine Physician
- Longmont, CO
- NPI 1003452301
-
- Internal Medicine Physician
- Longmont, CO
- NPI 1851074140
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1083082283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 W 12600 S",
"address_2": "STE 120",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840967405",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "STE 211",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-357-7327",
"fax_number": "801-375-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "LESLEE",
"middle_name": "RONALD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-04",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0175720",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991951-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "330534-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03400255",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Central Utah Clinic, P.C.",
"address_1": "1055 N 500 W",
"address_2": "Ste 211",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846043305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.