Individual provider Active NPI

Leslie Jeanne Howell, D.O

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1366407454
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1195 Issued in NV
Practice address
2465 E Twain Ave
Las Vegas, NV 89121-4011
Phone
(702) 789-6260
Fax
(702) 968-4040
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1195 NV Primary

Addresses

Primary practice location

2465 E Twain Ave
Las Vegas, NV 89121-4011

Mailing address

7808 Rye Canyon Dr
Las Vegas, NV 89123-0730

Other practice location 1

2121 W Charleston Blvd
Las Vegas, NV 89102-2205
Phone (702) 382-7746

Other identifiers 1

IdentifierTypeStateIssuer
100508961MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823001139 NV Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 3476584087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1195NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Residential Services LLC CurrentSince Jun 1, 2021 Accepting new patients
Southwest Medical Associates, Inc Past Accepting new patients

Locations

2121 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 382-7746

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1366407454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 RYE CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 E TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214011",
            "telephone_number": "702-789-6260",
            "fax_number": "702-968-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022205",
            "country_code": "US",
            "telephone_number": "702-382-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "LESLIE",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508961",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.