Individual provider Active NPI

Leslee Ronald Adams, NP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1083082283
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
330534-4405 Issued in UT
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

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03400255MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RN.0175720COMDRegistered Nurse
330534-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Concierge Physicians, LLC CurrentSince Feb 2, 2024 Accepting new patients
Compassionate Concierge Physicians, LLC Registered Nurse CurrentSince Feb 6, 2024 Accepting new patients
Summit Medical Care CurrentSince Sep 1, 2021 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.

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

Verify at the official NPI Registry.