Leslie Marie Maynard, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3008043 Issued in KY

Practice address

3050 Rio Dosa Dr
Lexington, KY 40509-1540

Phone

(859) 268-6410

Fax

(859) 268-6473

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lesliemaynard@fpal.allscriptsdirect.net

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.

• Access Wellness Group

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1437449451
  Medicare reassignment NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frankfort, KY
  • NPI 1790731081
  Medicare reassignment NPD
• Skaggs Consulting, PLLC

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1548869084

  Psychiatric/Mental Health

  Medicare reassignment NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, KY
  • NPI 1023359783
  NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winchester, KY
  • NPI 1336189380
  NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carlisle, KY
  • NPI 1720028798
  NPD (past)
• SHC Medical Partners of Kentucky, LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1417132614
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1265877880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 RIO DOSA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091540",
            "telephone_number": "859-268-6410",
            "fax_number": "859-268-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIO DOSA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091540",
            "telephone_number": "859-268-6410",
            "fax_number": "859-268-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3008043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Maynard, APRN, CNM
• David C. Maynard, PHD, LPCC
• Erika Maynard
• Erin C Maynard, MD
• Ines Maynard, LPA, NCSP
• Casie M Mayne, PA-C,RD, LD
• John Mayo
• Keith Wyatt Mayo, PSY.D.
• Nathan B. Mayo, LPCC
• Dustin Alan Mayrand, DMD

• Psychiatric/Mental Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.