Individual provider Active NPI

Leslie Marie Reed

  • Dental Hygienist
  • Knoxville, TN
National Provider Identifier
1124727342
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8719 Issued in TN
Practice address
109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925
Phone
(865) 281-1444
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 8719 TN Primary

Addresses

Primary practice location

109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925

Mailing address

109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925
Phone (865) 281-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8719TNMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
John Coulter CurrentSince Mar 5, 2023 Accepting new patients

Locations

109 S Northshore Dr
Ste 301
Knoxville, TN 37919
Phone (865) 281-1444

Organizations & group practices 1

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1124727342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194925",
            "telephone_number": "865-281-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194925",
            "telephone_number": "865-281-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.