Individual provider Active NPI

Leslie A Haizlip, CNM

  • Advanced Practice Midwife
  • Marietta, GA
National Provider Identifier
1215927967
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN136404 Issued in GA
Practice address
833 Campbell Hill St NW Ste 400
Marietta, GA 30060-1147
Phone
(770) 528-0260
Fax
(770) 528-0269
NPI assigned
Oct 25, 2005
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN136404 GA Primary

Addresses

Primary practice location

833 Campbell Hill St NW Ste 400
Marietta, GA 30060-1147

Mailing address

833 Campbell Hill St NW # St400
Marietta, GA 30060-1134
Phone (770) 528-0260

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN136404GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Past Accepting new patients
Wellstar Northwest Women's Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lhaizlip8938@directwellstar.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1215927967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW # ST400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-528-0260",
            "fax_number": "770-528-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601147",
            "telephone_number": "770-528-0260",
            "fax_number": "770-528-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIZLIP",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN136404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.