Individual provider Active NPI

Leslie Ann Burnham, N.P.

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1275886475
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN285052 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(978) 882-6885
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN285052 MA
Acute Care Nurse Practitioner 363LA2100X 057939-23 NH
Nurse Practitioner 363L00000X RN285052 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621

Other practice location 1

100 Hitchcock Way
Dartmouth Hitchcock - Urgent Care
Manchester, NH 03104-4125
Phone (603) 695-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000261 MA Practitioner - Nurse Practitioner 8123273786 Reassigns benefits to 4 organizations
I20140814002252 NH Practitioner - Nurse Practitioner 8123273786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN285052MAMDNurse Practitioner
057939-23NHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Apr 6, 2020 Accepting new patients
TVCG Newton-Wellesley PLLC CurrentSince Sep 20, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Apr 6, 2020 Accepting new patients
Stephen J. Hoenig, MD, PC CurrentSince Sep 20, 2021 Accepting new patients
General Hospital Corp Current Accepting new patients
Alliance Health Services CurrentSince Jul 21, 2014 Accepting new patients
Vascular Care Group LLC CurrentSince Sep 20, 2021 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

54 Baker Avenue Ext
Ste 301
Concord, MA 01742
Phone (978) 369-4468

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

50 Memorial Dr
Ste 112
Leominster, MA 01453
Phone (978) 534-3179

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

981 Worcester St
Ste 2A
Wellesley, MA 02482
Phone (781) 304-8838

981 Worcester St
Fl 2
Wellesley, MA 02482
Phone (506) 556-0223

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

Interoperability endpoints

  • Direct secure messaging: lburnham11451@direct.dartmouth-hitchcock.org
  • Direct secure messaging: burnham.leslie.mgh@direct.partners.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1275886475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "978-882-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hitchcock Way",
            "address_2": "Dartmouth Hitchcock - Urgent Care",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN285052",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "057939-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN285052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.