Leslie Smith, ARNP, BSN, BS, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61348718 Issued in WA

Practice address

120 S 3Rd St
Yakima, WA 98901-2875

Phone

(509) 248-1800

NPI assigned

Nov 7, 2018

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)

Not enrolled

Credentials

Bachelor of Science, Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Yakima Valley Council on Alcoholism

  • Substance Abuse Rehabilitation Facility
  • Buena, WA
  • NPI 1588879928
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1104394147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 3RD ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012875",
            "telephone_number": "509-248-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 3RD ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012875",
            "telephone_number": "509-248-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "credential": "ARNP, BSN, BS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60207777",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61348718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104394147",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Smith
• Ian Wesley Smith
• Jarom Alexander Smith, DDS
• Kara Elizabeth Kozemzak Smith, FNP-BC
• Katherine Smith
• Michele Smith, SUDPT
• Neal Henry Smith, D.M.D.
• Norma Rubi Smith
• Shane B Smith, DDS
• Treva Smith, RD

• Psychiatric/Mental Health Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.