Individual provider Active NPI

Leslie Meeks

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1306415476
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28446 Issued in OH
Practice address
8251 Pine Rd Ste 205
Cincinnati, OH 45236-2191
Phone
(833) 781-7611
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28446 OH Primary

Addresses

Primary practice location

8251 Pine Rd Ste 205
Cincinnati, OH 45236-2191

Mailing address

3053 Prestwicke Dr
Edgewood, KY 41017-8101
Phone (937) 216-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210823002053 OH Practitioner - Nurse Practitioner 5991100349 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28446OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health of Cincinnati LLC CurrentSince Jul 1, 2021 Accepting new patients
Active Life Health of Cincinnati LLC CurrentSince Jun 27, 2021 Accepting new patients

Locations

8251 Pine Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 419-4158

Interoperability endpoints

  • Direct secure messaging: lmeeks381247@direct.trihealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1306415476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 PRESTWICKE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410178101",
            "telephone_number": "937-216-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 PINE RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "833-781-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "28446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.