Leslie Jean Heron, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30073429 Issued in WA

Practice address

1100 Fairview Avenue N, LF-261,
Fred Hutchinson Cancer Research Center
Seattle, WA 98109-1024

Phone

(206) 667-3249

Fax

(206) 667-1502

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ms. Leslie Jean Vietmeier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5263/brand/1/csg/1/fhir/r4

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.

• Queen Anne Medical Associates, PLLC

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1952574642
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1215985510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FAIRVIEW AVENUE N, LF-261, (PO BOX 19024)",
            "address_2": "FRED HUTCHINSON CANCER RESEARCH CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091024",
            "telephone_number": "206-667-3249",
            "fax_number": "206-667-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FAIRVIEW AVENUE N, LF-261,",
            "address_2": "FRED HUTCHINSON CANCER RESEARCH CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091024",
            "telephone_number": "206-667-3249",
            "fax_number": "206-667-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON",
        "first_name": "LESLIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30073429",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00086540",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30073429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215985510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "VIETMEIER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "APRN, FNP, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberley K Herner, MD
• Joel E Herness, M.D.
• Aneshia Mahalia Hernton, CNA
• Carrie Heron
• Krista Heron, N.D.
• Roger Allan Herr, P.T.
• Christian Herradura, LMHCA, CDP, MHP
• Samantha Herradura, ARNP
• Nadia Estela Herrarte
• Juan Andres Herrejon, MD

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.