Individual provider Active NPI

Leslie Cooper, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1538667498
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33201 Issued in TN
Practice address
3916 Boyds Bridge Pike
Knoxville, TN 37914-6233
Phone
(423) 926-2358
Fax
(423) 926-2680
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0024175787 VA
Family Nurse Practitioner 363LF0000X 33201 TN Primary

Addresses

Primary practice location

3916 Boyds Bridge Pike
Knoxville, TN 37914-6233

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180509002894 VA Practitioner - Nurse Practitioner 9638433147 Reassigns benefits to 2 organizations
I20240415000594 TN Practitioner - Nurse Practitioner 9638433147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renuven Aco PLLCGroup PAC ID 1850820374, 8 clinicians

Practice addresses (Care Compare)

3209 Bristol Hwy
Johnson City, TN 37601-1515
Phone (423) 926-2358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33201TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Hill Gastroenterology Associates, LTD. CurrentSince Oct 17, 2018 Accepting new patients
Integrated Health Transitions, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Renuven Aco PLLC CurrentSince Jan 1, 2026 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Mar 4, 2024 Accepting new patients
Fall Hill Gastroenterology Associates, a Division of Maha, Inc. PastSince Oct 17, 2018 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

122 Cavette Hill Ln
Knoxville, TN 37934
Phone (865) 777-4000

809 E Emerald Ave
Knoxville, TN 37917
Phone (865) 524-7366

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

3916 Boyds Bridge Pike
Knoxville, TN 37914
Phone (865) 523-1500

3200 West End Ave
Ste 500
Nashville, TN 37203
Phone (615) 385-4090

300 Laboratory Rd
Oak Ridge, TN 37830
Phone (865) 482-7698

2601 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 371-9696

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1538667498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BOYDS BRIDGE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379146233",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0024175787",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.