Individual provider Active NPI

Leslea Renae Streetman, APRN FNP-C

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1336702067
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25742 Issued in TN
Practice address
2485 Tiny Town Rd
Clarksville, TN 37042-7219
Phone
(931) 502-2423
Fax
(931) 502-2370
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25742 TN Primary

Addresses

Primary practice location

2485 Tiny Town Rd
Clarksville, TN 37042-7219

Mailing address

2485 Tiny Town Rd
Clarksville, TN 37042-7219
Phone (931) 502-2423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191114001834 TN Practitioner - Nurse Practitioner 3577995471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kca, PLLCGroup PAC ID 1557436565, 6 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 609
Franklin, TN 37067-5922
Phone (615) 479-2834

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Physician Services LLC CurrentSince Mar 31, 2025 Accepting new patients
Kca, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Clarksville Physician Services, LLC Past Accepting new patients

Locations

311 Landrum Pl
Ste 100
Clarksville, TN 37043
Phone (931) 245-2090

2292 Dalton Dr
Ste E
Clarksville, TN 37043
Phone (615) 550-1800

647 Dunlop Ln
Ste 206
Clarksville, TN 37040
Phone (931) 232-5141

2485 Tiny Town Rd
Clarksville, TN 37042
Phone (931) 502-2403

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

4323 Carothers Pkwy
Ste 609
Franklin, TN 37067
Phone (615) 479-2834

Interoperability endpoints

  • Direct secure messaging: leslea.streetman.1@1879.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1336702067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427219",
            "telephone_number": "931-502-2423",
            "fax_number": "931-502-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427219",
            "telephone_number": "931-502-2423",
            "fax_number": "931-502-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETMAN",
        "first_name": "LESLEA",
        "middle_name": "RENAE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.