Leslie N. Nishimi, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

23775 Issued in AZ

Practice address

77 W. Forest Avenue
Suite 101
Flagstaff, AZ 86001-1482

Phone

(928) 773-2515

Fax

(928) 773-2240

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1285689661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 2018",
            "address_2": "PO BOX 29675",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W. FOREST AVENUE",
            "address_2": "SUITE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-773-2515",
            "fax_number": "928-773-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIMI",
        "first_name": "LESLIE",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "23775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343674",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Marie Nicks, RN, CNOR, RNFA, NP-C
• Bradley Robert Nicol, MD
• Jeremy Nielsen, M.D.
• Callie Rae Niemann, AUD
• Emily H Nieto, DMD, MPH
• No Ariz Dermatology Center
• No Mud No Lotus LLC
• Paul Andrew Nockels, PH.D.
• Leila Noghrehchi, MD
• Mark Daniel Noorlander, CRNA

• Diagnostic Radiology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.