Individual provider Active NPI

Leslie Ann Mackowiak, N.P.

  • Women's Health Nurse Practitioner
  • Chico, CA
National Provider Identifier
1144358524
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN159936 Issued in CA
Practice address
Warner Ave and College Dr
Chico State University Student Health Service
Chico, CA 95929-0777
Phone
(530) 898-5241
Fax
(530) 898-4057
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN159936 CA Primary

Addresses

Primary practice location

Warner Ave and College Dr
Chico State University Student Health Service
Chico, CA 95929-0777

Mailing address

Warner Ave & College Dr
Chico State University - Student Health Service
Chico, CA 95929-0777
Phone (530) 898-5241

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN159936CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1144358524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WARNER AVE & COLLEGE DR",
            "address_2": "CHICO STATE UNIVERSITY - STUDENT HEALTH SERVICE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-5241",
            "fax_number": "530-898-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARNER AVE AND COLLEGE DR",
            "address_2": "CHICO STATE UNIVERSITY STUDENT HEALTH SERVICE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-5241",
            "fax_number": "530-898-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOWIAK",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN159936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.