Leslie Erin Ealy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

458157 Issued in OH

Practice address

233 Bannock Dr
Maineville, OH 45039

Phone

(513) 560-1100

NPI assigned

Jul 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265953715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BANNOCK DR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450395056",
            "telephone_number": "513-560-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BANNOCK DR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-560-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1371 Stableview Cir",
            "address_purpose": "LOCATION",
            "city": "Maineville",
            "state": "OH",
            "postal_code": "450397916",
            "country_code": "US",
            "telephone_number": "513-560-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EALY",
        "first_name": "LESLIE",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "458157",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "458157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8304865",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Maineville, OH
• Providers in Maineville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.