Active NPI
Leslie John Kiley-Smith, RN
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1437607983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1111 Market St
San Francisco, CA 94103 - Phone
- (415) 863-3883
- Fax
- (415) 863-7343
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 469122 | CA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 469122 | CA | |
| College Health Registered Nurse | 163WC1400X | 469122 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1111 Market St
San Francisco, CA 94103
Mailing address
163A Noe St
San Francisco, CA 94114-1207
Phone (415) 235-8172
Other practice location 1
433 Turk St
San Francisco, CA 94102-3329
Phone (415) 928-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469122 | CA | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1437607983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163A NOE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141207",
"telephone_number": "415-235-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MARKET ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94103",
"telephone_number": "415-863-3883",
"fax_number": "415-863-7343"
}
],
"practiceLocations": [
{
"address_1": "433 Turk St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941023329",
"country_code": "US",
"telephone_number": "415-928-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILEY-SMITH",
"first_name": "LESLIE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "469122",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "469122",
"primary": false
},
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "CA",
"license": "469122",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.