Individual provider Active NPI

Leslie Lindsay, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1407367097
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02071 Issued in KS
Practice address
4930 Overland Dr
Lawrence, KS 66049-4132
Phone
(785) 856-0708
NPI assigned
Oct 23, 2017
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 15-02071 KS Primary
Medical Physician Assistant 363AM0700X 15-02071 KS

Addresses

Primary practice location

4930 Overland Dr
Lawrence, KS 66049-4132

Mailing address

4930 Overland Dr
Lawrence, KS 66049-4132
Phone (785) 856-0708

Other practice location 1

410 Woodfield Dr
Tonganoxie, KS 66086-5443
Phone (913) 845-8400

Other practice location 2

1863 Finch Dr
Tonganoxie, KS 66086-9713
Phone (712) 371-2385

Other practice location 3

313 S Union St
Mc Louth, KS 66054-4103
Phone (913) 796-6116

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180920002933 MO Practitioner - Physician Assistant 6709147820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02071KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Saint Lukes Physician Group Inc Physician Assistant CurrentSince Nov 12, 2018 Accepting new patients
Family Centered Medicine PastSince Mar 29, 2020 Accepting new patients
Advanced Medical Imaging, LLC PastSince Mar 29, 2020 Accepting new patients

Locations

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1407367097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 OVERLAND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494132",
            "telephone_number": "785-856-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 OVERLAND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494132",
            "telephone_number": "785-856-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Woodfield Dr",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660865443",
            "country_code": "US",
            "telephone_number": "913-845-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1863 Finch Dr",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660869713",
            "country_code": "US",
            "telephone_number": "712-371-2385",
            "fax_number": "712-371-2385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Union St",
            "address_purpose": "LOCATION",
            "city": "Mc Louth",
            "state": "KS",
            "postal_code": "660544103",
            "country_code": "US",
            "telephone_number": "913-796-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "LESLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02071",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.