Individual provider Active NPI

Leslie J Hansen, ARNP

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1366041451
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60570002 Issued in WA
Practice address
208 N 3Rd Ave
Yakima, WA 98902-2632
Phone
(509) 965-5750
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 AP60570002 WA Primary

Addresses

Primary practice location

208 N 3Rd Ave
Yakima, WA 98902-2632

Mailing address

202 Darland Ave
Moxee, WA 98936-9024
Phone (509) 929-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240205003280 WA Practitioner - Nurse Practitioner 8325481559 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60570002WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 CurrentSince Oct 1, 2025 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Jan 1, 2024 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Jan 1, 2024 Accepting new patients

Locations

201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331

214 W 1st St
Cle Elum, WA 98922
Phone (509) 674-6779

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1366041451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DARLAND AVE",
            "city": "MOXEE",
            "state": "WA",
            "postal_code": "989369024",
            "telephone_number": "509-929-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 3RD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022632",
            "telephone_number": "509-965-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60570002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.