Individual provider Active NPI

Leslie S Fifer, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1366430977
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30006266 Issued in WA
Practice address
2317 W 3Rd Ave
Spokane, WA 99201-5809
Phone
(509) 624-1244
Fax
(509) 624-6240
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9209238 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP30006266 WA Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP30006266 WA

Addresses

Primary practice location

2317 W 3Rd Ave
Spokane, WA 99201-5809

Mailing address

PO Box 4627
Spokane, WA 99220-0627
Phone (509) 624-1244

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
I20171109002511 WA Practitioner - Nurse Practitioner 6204878788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9209238FLMDNurse Practitioner
AP30006266WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Care Centers, Inc. Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Pinnicale Pain Center Single Specialty PastSince Jan 1, 2018 Accepting new patients
New Horizon Care Center, Inc. PastSince May 1, 2022 Accepting new patients

Locations

701 E 3rd Ave
Spokane, WA 99202
Phone (509) 838-6092

2317 W 3rd Ave
Spokane, WA 99201
Phone 5096241244 ext. 1102

2308 W 3rd Ave
Spokane, WA 99201
Phone 5096241244 ext. 125

518 S Browne St
Spokane, WA 99204
Phone (509) 456-5465

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1366430977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4627",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200627",
            "telephone_number": "509-624-1244",
            "fax_number": "509-624-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015809",
            "telephone_number": "509-624-1244",
            "fax_number": "509-624-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFER",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9209238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006266",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.