Individual provider Active NPI

Leslie Baker Markham, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1417085333
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-095619 Issued in AL
Practice address
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone
(205) 838-3000
NPI assigned
Mar 1, 2007
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-095619 AL Primary

Addresses

Primary practice location

50 Medical Park Dr E
Birmingham, AL 35235-3401

Mailing address

3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372
Phone (205) 977-1949

Other practice location 1

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000131 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820197270 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2021 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Jun 1, 2024 Accepting new patients
Anesthesiologists Associated PC CurrentSince Feb 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Alabama-TCS Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Anesthesia Group East PC Past Accepting new patients
St Vincents East Past Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

3104 Blue Lake Dr
Ste 110
Vestavia, AL 35243
Phone (205) 977-1205

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1417085333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-1949",
            "fax_number": "205-977-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Grandview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433326",
            "country_code": "US",
            "telephone_number": "205-971-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "LESLIE",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-095619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.