Individual provider Active NPI

Leslie Leanne Roberts, APRN-FNP C

  • Primary Care Nurse Practitioner
  • Dumas, AR
National Provider Identifier
1609434620
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A006265 Issued in AR
Practice address
105 Carlton Dr
Dumas, AR 71639-2836
Phone
(870) 377-4295
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A006265 AR Primary

Addresses

Primary practice location

105 Carlton Dr
Dumas, AR 71639-2836

Mailing address

PO Box 953
Dumas, AR 71639-0953
Phone (870) 377-4295

Other identifiers 1

IdentifierTypeStateIssuer
A006265OtherARNURSE PRACTITIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MT2 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
I20190812002703 AR Practitioner - Nurse Practitioner 8820325962 Reassigns benefits to 3 organizations
Practice locations: Star City, AR
I20240613004307 MT Practitioner - Nurse Practitioner 8820325962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Memorial HospitalGroup PAC ID 1658262241, shared by 5 NPIs, 6 clinicians

Practice addresses (Care Compare)

PO Box
Dumas, AR 71639

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006265ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhook Community Health Center, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Delta Memorial Hospital CurrentSince Mar 27, 2025 Accepting new patients
Delta Memorial Hospital Current Accepting new patients
Delta Memorial Hospital CurrentSince Dec 2, 2024 Accepting new patients

Locations

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

803 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4400

103 W Waterman St
Dumas, AR 71639
Phone (870) 377-9220

521 4th St
Havre, MT 59501
Phone (406) 395-4305

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1609434620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716390953",
            "telephone_number": "870-377-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CARLTON DR",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392836",
            "telephone_number": "870-377-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LESLIE",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP  C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A006265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "A006265",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, AR

Sources for this page

Verify at the official NPI Registry.