Leslie A. Mathewson, APN (PMHNP)

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10492 Issued in TN

Practice address

10434 Jackson Oaks Way
Knoxville, TN 37922-3293

Phone

(865) 281-1408

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mr. L. Albert Mathewson Professional name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.lesliemathewson@148560.advancedmd-direct.com

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.

• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, SC
  • NPI 1356397228
  Medicare reassignment Care Compare group NPD
• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiken, SC
  • NPI 1316904857
  NPD
• J. Sidney Alexander, M.D., P.C.

  • Psychiatry Physician
  • Knoxville, TN
  • NPI 1538204003

  Psychiatric/Mental Health

  NPD (past)
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)
• Paradigm Health Services, Inc

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1578519146
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1376588236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 JACKSON OAKS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 JACKSON OAKS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223293",
            "telephone_number": "865-281-1408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033009",
            "country_code": "US",
            "telephone_number": "864-585-0366",
            "fax_number": "888-843-7657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWSON",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "APN (PMHNP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "142095",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "10492",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "3648105",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L.",
            "last_name": "MATHEWSON",
            "middle_name": "ALBERT",
            "prefix": "MR.",
            "credential": "APN (PMHNP)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Catherine L Mathes, MD
• Chelsea Matheson
• Christina Mathew, PHARMD
• David Varkey Mathews, M.D.
• Kellie L Mathewson, NP
• Jennifer Lynn Mathiak
• Gregory Mark Mathien, M.D.
• Amanda Mathieu
• Bradley Lamar Mathis
• Rachel H Mathis, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.