Active NPI
Leslie Rachel McCormack, CNM APN
- Advanced Practice Midwife
- Rogers, AR
National Provider Identifier
1487092946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- M002119
- Practice address
- 5302 Village Pkwy
Suite 3
Rogers, AR 72758-8102 - Phone
- (479) 372-4560
- Fax
- (501) 712-4530
- NPI assigned
- Jun 6, 2013
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | M002119 | AR | Primary |
Addresses
Primary practice location
5302 Village Pkwy
Suite 3
Rogers, AR 72758-8102
Mailing address
5302 Village Pkwy
Suite 3
Rogers, AR 72758-8102
Phone (479) 372-4560
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M002119 | AR | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1487092946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5302 VILLAGE PKWY",
"address_2": "SUITE 3",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588102",
"telephone_number": "479-372-4560",
"fax_number": "501-712-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5302 VILLAGE PKWY",
"address_2": "SUITE 3",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588102",
"telephone_number": "479-372-4560",
"fax_number": "501-712-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "LESLIE",
"middle_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "CNM APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AR",
"license": "M002119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.