Tammy Jo Leslie

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

L240785420610 Issued in MI

Practice address

4118 Lincoln Rd
Standish, MI 48658-9432

Phone

(989) 359-9472

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1588049878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 LINCOLN RD",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589432",
            "telephone_number": "989-359-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 LINCOLN RD",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589432",
            "telephone_number": "989-359-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "TAMMY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MI",
            "license": "L240785420610",
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MI",
            "license": "171WH0202X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Reyne Lentz
• Rebecca Leo
• Leonard J Leclair DC Inc
• Kennedy K Leonard
• Madison Paige Leonard
• Natosha Lewis, PTA
• Rebecca Ellen Lobodzinski
• Nathan Loney
• Lea Lovell, LMSW
• Casey Lupo

• Home Modifications Contractor in Standish, MI
• Providers in Standish, MI by specialty
• Home Modifications Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.