Individual provider Active NPI

Leslie S Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
National Provider Identifier
1306108576
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-100496 Issued in AL
Practice address
721 Madison St SE
Huntsville, AL 35801-4408
Phone
(256) 533-4888
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-100496 AL Primary

Addresses

Primary practice location

721 Madison St SE
Huntsville, AL 35801-4408

Mailing address

PO Box 288
Huntsville, AL 35804-0288
Phone (256) 880-6711

Other names 1

  • Leslie B Shanner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000483 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406012020 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians
Heca, LLCGroup PAC ID 9638452972, 8 clinicians
Huntsville Anesthesiology Consultants PCGroup PAC ID 0749171262, 18 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 533-6488

721 Madison Sest
Huntsville, AL 35801-4408
Phone (256) 880-6711

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heca, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2023 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Jan 1, 2022 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2023 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2015 Accepting new patients
Huntsville Anesthesiology Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2013 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2015 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

721 Madison St SE
Huntsville, AL 35801
Phone (256) 533-4888

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Organizations & group practices 7

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 1

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1306108576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358040288",
            "telephone_number": "256-880-6711",
            "fax_number": "256-880-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MADISON ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014408",
            "telephone_number": "256-533-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LESLIE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-100496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SHANNER",
            "middle_name": "B",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.