Leslie Hagenstein, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8665.0048 Issued in WY

Practice address

103 W 3Rd Street
New Physical Address
Marbleton, WY 83113

Phone

(307) 276-3306

Fax

(307) 276-3024

NPI assigned

Dec 2, 2005

Last updated

Mar 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1093799132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "address_2": "9615 HWY 191",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829413040",
            "telephone_number": "307-231-9562",
            "fax_number": "307-276-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 3RD STREET",
            "address_2": "NEW PHYSICAL ADDRESS",
            "city": "MARBLETON",
            "state": "WY",
            "postal_code": "83113",
            "telephone_number": "307-276-3306",
            "fax_number": "307-276-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENSTEIN",
        "first_name": "LESLIE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "8665.0048",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124348900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William David Mills Burnett, M.D.
• Brendan H Fitzsimmons, MD
• Jason L Ray, PA-C
• Lorri N Turner, FNP

• Family Nurse Practitioner in Marbleton, WY
• Providers in Marbleton, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.