Active NPI
Leslie Durham, RNC APN
- Family Nurse Practitioner
- Lebanon, TN
National Provider Identifier
1578645289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 6412
- Practice address
- 927 E Baddour Pkwy
Lebanon, TN 37087-3706 - Phone
- (615) 444-5325
- Fax
- (615) 444-2750
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN 6412 | TN | Primary |
Addresses
Primary practice location
927 E Baddour Pkwy
Lebanon, TN 37087-3706
Mailing address
927 E Baddour Pkwy
Lebanon, TN 37087-3706
Phone (615) 444-5325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6412 | Other | TN | APN LICENSE |
| 83092 | Other | TN | RN LICENSE |
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 |
|---|---|---|---|
| APN 6412 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1578645289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 E BADDOUR PKWY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873706",
"telephone_number": "615-444-5325",
"fax_number": "615-444-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 E BADDOUR PKWY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873706",
"telephone_number": "615-444-5325",
"fax_number": "615-444-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "LESLIE",
"credential": "RNC APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN 6412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "6412",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "83092",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.