Leslie Dale Luke, RNC FNP WHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

122210 Issued in MO

Practice address

106 W. Edwards
Maryville, MO 64468

Phone

(660) 562-2273

Fax

(660) 562-3530

NPI assigned

Jan 26, 2006

Last updated

Mar 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Oakland College of Medicine and Surgery, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Leslie Luke, Inc.

  dba The Care Clinic

  • Family Nurse Practitioner
  • Maryville, MO
  • NPI 1578623476
  Medicare reassignment NPD Authorized official
• Community Hospital Association

  • Critical Access Hospital
  • Fairfax, MO
  • NPI 1942279500
  Medicare reassignment NPD
• Jacobson Counseling LLC

  • Community/Behavioral Health Agency
  • Maryville, MO
  • NPI 1750515680
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1386614618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W. EDWARDS",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-562-2273",
            "fax_number": "660-562-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W. EDWARDS",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-562-2273",
            "fax_number": "660-562-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "LESLIE",
        "middle_name": "DALE",
        "credential": "RNC FNP WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "122210",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "122210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424794410",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cali M Lloyd, LCSW
• Susan P Long, MA, CCC-SLP
• Losh Optometry LLC
• Ryan K Losh, O.D.
• Luke Therapy Services LLC
• Renae Luke, MHS, CCC-SLP
• Janet Luzmoor, M.S., M.A., PLPC
• M Rogers Inc & Subsidiary (Rogers Pharmacy)
• M Rogers Inc & Subsidiary (Rogers Home Medical Equipment)
• Eric Maass, D.O.

• Family Nurse Practitioner in Maryville, MO
• Providers in Maryville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.