Individual provider Active NPI

Leistey Tindall, FNP-BC, PMHNP-BC

  • Primary Care Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1326588492
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5009344 Issued in NC
Practice address
3603 W Stage Coach TRL
Shelby, NC 28150-9598
Phone
(910) 387-3840
Fax
(704) 703-9668
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 5009344 NC
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 5009344 NC Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5009344 NC

Addresses

Primary practice location

3603 W Stage Coach TRL
Shelby, NC 28150-9598

Mailing address

329 Silver Grove Church Rd
Rockingham, NC 28379-6978
Phone (910) 387-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20170724002628 NC Practitioner - Nurse Practitioner 9032489075 Reassigns benefits to 2 organizations
I20260128000835 FL Practitioner - Nurse Practitioner 9032489075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind and Body Wellness, PLLCGroup PAC ID 5698182608, 3 clinicians
Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 clinicians

Practice addresses (Care Compare)

Rockingham, NC 28379
Phone (910) 387-3840

2717 Neuse Blvd
New Bern, NC 28562-2840
Phone (252) 514-9888

3603 W Stage Coach TRL
Shelby, NC 28150-9598
Phone (704) 476-9144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Behavioral Health Multi-Specialty CurrentSince Jan 16, 2024 Accepting new patients
Mind & Body Wellness, PLLC Multi-Specialty CurrentSince Feb 22, 2021 Accepting new patients

Locations

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1326588492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SILVER GROVE CHURCH RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283796978",
            "telephone_number": "910-387-7300",
            "fax_number": "704-703-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 W STAGE COACH TRL",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281509598",
            "telephone_number": "910-387-3840",
            "fax_number": "704-703-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "LEISTEY",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009344",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5009344",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5009344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.