Organization Active NPI

Leslie Richardson, LLC

  • Community/Behavioral Health Agency
  • Lincoln, NE
National Provider Identifier
1093259491
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3827 Issued in NE
Legal business name
LESLIE RICHARDSON, LLC
Practice address
3201 Pioneers Blvd
112
Lincoln, NE 68502-5963
Phone
(402) 486-3110
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Leslie RichardsonNPI 1245488808
Title
Owner
Phone
(402) 470-7130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 147 NE
Community/Behavioral Health Agency 251S00000X 3827 NE Primary
Community/Behavioral Health Agency 251S00000X 1136 NE

Addresses

Primary practice location

3201 Pioneers Blvd
112
Lincoln, NE 68502-5963

Mailing address

2820 Jane LN
Lincoln, NE 68516-2746
Phone (402) 470-7130

Other identifiers 1

IdentifierTypeStateIssuer
98402OtherNEBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1093259491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 JANE LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162746",
            "telephone_number": "402-470-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "112",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-486-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE RICHARDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-470-7130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "147",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "3827",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98402",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.