Individual provider Active NPI

Leslie W Foshie, FNP

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1386015931
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20322 Issued in TN
Practice address
1140 Tusculum Blvd
Greeneville, TN 37745-4039
Phone
(423) 525-5462
Fax
(423) 525-5232
NPI assigned
Oct 8, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 20322 TN Primary

Addresses

Primary practice location

1140 Tusculum Blvd
Greeneville, TN 37745-4039

Mailing address

1140 Tusculum Blvd
Greeneville, TN 37745-4039
Phone (423) 525-5462

Other identifiers 2

IdentifierTypeStateIssuer
1386015931MedicaidTN
1386015931OtherTNALL OTHER ISSUERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leslie@blueridgefamilymedicalpractice.com Direct

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
I20151124002445 TN Practitioner - Nurse Practitioner 9537469481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Tusculum Blvd
Greeneville, TN 37745-4039
Phone (423) 525-5462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20322TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Family Medical Practice Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 26, 2015 Accepting new patients
Summit Medical Group, PLLC Family Medicine CurrentSince Oct 26, 2015 Accepting new patients
Tri-Cities Gastroenterology LLC PastSince Oct 28, 2023 Accepting new patients
Oasis Treatment Center, PC PastSince Aug 11, 2024 Accepting new patients
Summit Medical Group PLLC Family Medicine PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1140 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 525-5262

1404 Tusculum Blvd
Ste 2100
Greeneville, TN 37745
Phone (423) 638-1188

555 Justis Dr
Greeneville, TN 37745
Phone (423) 254-6460

627 Asheville Hwy
Greeneville, TN 37743
Phone (423) 636-1521

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Interoperability endpoints

  • Direct secure messaging: leslie.foshie.1@30687.direct.athenahealth.com
  • Direct secure messaging: leslie@blueridgefamilymedicalpractice.com
  • Direct secure messaging: lesliefoshiebrfm@docvilladirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1386015931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454039",
            "telephone_number": "423-525-5462",
            "fax_number": "423-525-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454039",
            "telephone_number": "423-525-5462",
            "fax_number": "423-525-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSHIE",
        "first_name": "LESLIE",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386015931",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER ISSUERS",
            "identifier": "1386015931",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslie@blueridgefamilymedicalpractice.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email To Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1140 Tusculum Blvd",
            "city": "Greeneville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377454039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.