Individual provider Active NPI

Leslie Dawn Guy, NP

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomington, IN
National Provider Identifier
1427620954
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
71011622A Issued in IN
Practice address
2701 E 3Rd St
Bloomington, IN 47401-5433
Phone
(812) 332-1419
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011622A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 71011622A IN Primary

Addresses

Primary practice location

2701 E 3Rd St
Bloomington, IN 47401-5433

Mailing address

2701 E 3Rd St
Bloomington, IN 47401-5433
Phone (812) 332-1419

Other practice location 1

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211207001797 IN Practitioner - Nurse Practitioner 1355731282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

1314 E Walnut St
DCH ER Physicians Group
Washington, IN 47501-2860
Phone (812) 254-2760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011622AINMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Daviess County Hospital CurrentSince Jul 1, 2022 Accepting new patients
Daviess County Hospital Past Accepting new patients

Locations

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1427620954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015433",
            "telephone_number": "812-332-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015433",
            "telephone_number": "812-332-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012860",
            "country_code": "US",
            "telephone_number": "812-254-2250",
            "fax_number": "812-257-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUY",
        "first_name": "LESLIE",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011622A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "71011622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.