Individual provider Active NPI

Leslie John Kiley-Smith, RN

  • Addiction (Substance Use Disorder) Counselor
  • San Francisco, CA
National Provider Identifier
1437607983
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
469122CAMDAddiction (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.

Verify at the official NPI Registry.