Individual provider Active NPI

Leslie Marie Heiser, FNP-BC

  • Family Nurse Practitioner
  • Corryton, TN
National Provider Identifier
1124450648
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN17718 Issued in TN
Practice address
7331 Tazewell Pike
Corryton, TN 37721-3516
Phone
(865) 249-8044
Fax
(865) 933-4729
NPI assigned
Aug 7, 2013
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 RN159964 TN
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 159964 TN
Family Nurse Practitioner 363LF0000X APN17718 TN Primary

Addresses

Primary practice location

7331 Tazewell Pike
Corryton, TN 37721-3516

Mailing address

7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044

Other names 1

  • Leslie Marie Yarberry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130912000746 TN Practitioner - Nurse Practitioner 3072757087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Gibbs Family Practice, LLCGroup PAC ID 0446555122, 2 clinicians

Practice addresses (Care Compare)

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN159964TNMDRegistered Nurse
159964TNMDNurse Practitioner
APN17718TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbs Family Practice, LLC Single Specialty CurrentSince Aug 24, 2015 Accepting new patients
Cherokee Health Systems Single Specialty Past Accepting new patients
Cherokee Health Systems Past Accepting new patients
Family Medical Care Center, LLC Single Specialty PastSince May 28, 2023 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

7331 Tazewell Pike
Corryton, TN 37721
Phone (865) 249-8044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12578/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leslie.heiser.1@12578.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1124450648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044",
            "fax_number": "865-933-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISER",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN159964",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "159964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "YARBERRY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corryton, TN

Sources for this page

Verify at the official NPI Registry.