Nicole Adele Leshoure, CPNP-PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1138719 Issued in AL

Practice address

1515 6TH Ave S FL 7
Birmingham, AL 35233-1601

Phone

(205) 407-5600

Fax

(205) 407-5519

NPI assigned

Mar 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama Regional Medical Services

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1417025917

  AL

  Medicare reassignment NPD
• Your Kids Urgent Care Alabama

  • Pediatrics Physician
  • Vestavia Hills, AL
  • NPI 1306404777

  AL

  Medicare reassignment NPD
• Alabama Regional Medical Services

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1033765888
  NPD
• Metro Pediatrics PC

  • Specialist
  • Birmingham, AL
  • NPI 1093855637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1497115240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S FL 7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-407-5600",
            "fax_number": "205-407-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S FL 7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-407-5600",
            "fax_number": "205-407-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Avenue E",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352181636",
            "country_code": "US",
            "telephone_number": "205-785-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESHOURE",
        "first_name": "NICOLE",
        "middle_name": "ADELE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-06",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1138719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Leong, M.D.
• Connor Andrew Leopard, RN
• Naren Phillips Leopard, LCSW, PIP
• Morgan Lepard, MD
• Pongtawat Lertwilaiwittaya, MD
• Melissa Parrish Leslie, MD
• Jacob Lessing, M.D.
• Mary Kathleen Lessley, CRNA
• Michael Stuart Lessley, CRNA
• Arlene Lester, DDS, MPH, FACD

• All providers in Birmingham, AL
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.