Leslee Michele Lowe, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Paragould, AR
NPI 1497017404 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1497017404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- A004153 (AR)
- Practice address
- 1101 Morgan St
Suite 8
Paragould, AR 72450-3949 - Phone
- (870) 335-9483
- Fax
- (870) 335-9487
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Families, Inc of Arkansas
Practice addresses (Care Compare)
118 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 206-9428
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022000622 | AR | Practitioner - Nurse Practitioner | 7214158914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004153 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc of Arkansas | Current |
Accepting new patients | |
| Families, Inc of Arkansas | Current |
Accepting new patients | |
| Families, Inc. of Arkansas | Past | Accepting new patients | |
| Families, Inc. of Arkansas | Past | Accepting new patients |
Locations
1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886
3201 W Keiser Ave
Osceola, AR 72370
Phone (870) 622-0592
1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A004153 | AR | Yes |
Addresses
Primary practice location
1101 Morgan St
Suite 8
Paragould, AR 72450-3949
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone (870) 933-6886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205837758 | Medicaid | AR | |
| 5HH99 | Other | AR | BCBS |
Other names
- Leslee Michele Davenport
Other providers in Paragould, AR
- Danielle Lockamy
- Joan E Logsdon
- Kaylee Jo Long
- Scarlett Long
- Americus Louis
- John C Lumb
- Amy Thompson Lynn
- Joseph Garrett Lynxwiler
- Lorna Shala Macdonald
- Cynthia Leanne Mace
All providers in Paragould, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.