Active NPI
Leslie Tomlin
- Licensed Practical Nurse
- Union, MO
National Provider Identifier
1447979794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2006038082
- Practice address
- 500 Clark Ave
Union, MO 63084-1004 - Phone
- (636) 224-1400
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2006038082 | MO | Primary |
Addresses
Primary practice location
500 Clark Ave
Union, MO 63084-1004
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210
Other names 1
- Leslie Vance
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006038082 | MO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1447979794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OLD SOUTH RIVER RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034120",
"telephone_number": "636-224-1210",
"fax_number": "636-246-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CLARK AVE",
"city": "UNION",
"state": "MO",
"postal_code": "630841004",
"telephone_number": "636-224-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "LESLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": "2006038082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "VANCE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Union, MO
- Andrea Don Thomas
- Denise Lynn Thompson, LPC
- Timothy S. Ellefson D.C.,P.C. (Union Chiropractic Center)
- Jessica N Tipton, LMSW
- Darrion Johnnell Tobias, LPC
- Jacob Austin Travis, OD
- Ashley D Tucker, LPN
- Toni Louise Turigliatto, LPC
- Union Community Ambulance District
- Union Community Ambulance District (Union Ambulance District)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.