Active NPI
Leslie Mooney Treece, M.D.
- Pediatrics Physician
- Cookeville, TN
National Provider Identifier
1609835644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34866
- Practice address
- 150 N Willow Ave
Cookeville, TN 38501-2368 - Phone
- (931) 528-1485
- Fax
- (931) 526-4233
- NPI assigned
- Mar 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34866 | TN | Primary |
Addresses
Primary practice location
150 N Willow Ave
Cookeville, TN 38501-2368
Mailing address
150 N Willow Ave
Cookeville, TN 38501-2368
Phone (931) 528-1485
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440738 | Medicaid | TN | |
| 4100526 | Other | TN | BCBS |
| 1517710 | Medicaid | TN | |
| 1538173471 | Other | TN | COOKEVILLE PEDIATRIC ASSOCIATES |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34866 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Pediatric Associates, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cookeville, TN
- NPI 1538173471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1609835644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012368",
"telephone_number": "931-528-1485",
"fax_number": "931-526-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012368",
"telephone_number": "931-528-1485",
"fax_number": "931-526-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREECE",
"first_name": "LESLIE",
"middle_name": "MOONEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "34866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440738",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4100526",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517710",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COOKEVILLE PEDIATRIC ASSOCIATES",
"identifier": "1538173471",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.