Active NPI
Tara Leslie Blair, DNP, APRN, CCNS
- Acute Care Clinical Nurse Specialist
- Mt Sterling, KY
National Provider Identifier
1265877989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 3007961
- Practice address
- 227 Falcon Dr Ste 101
Mt Sterling, KY 40353-9792 - Phone
- (859) 497-5135
- Fax
- (859) 497-5140
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | 3007961 | KY | |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 3007961 | KY | Primary |
Addresses
Primary practice location
227 Falcon Dr Ste 101
Mt Sterling, KY 40353-9792
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100257800 | Medicaid | KY |
Other names 1
- Ms. Tara Jacqueline Leslie
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 Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients |
Interoperability endpoints
- tarablair@kysjhspe.allscriptsdirect.net
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.
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1265877989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7818",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 FALCON DR STE 101",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403539792",
"telephone_number": "859-497-5135",
"fax_number": "859-497-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "TARA",
"middle_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "DNP, APRN, CCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "KY",
"license": "3007961",
"primary": false
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "KY",
"license": "3007961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100257800",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "LESLIE",
"middle_name": "JACQUELINE",
"prefix": "MS.",
"credential": "DNP, RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.