Leslie McBroom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19950 Issued in TN

Practice address

1222 Trotwood Ave
Suite 108
Columbia, TN 38401-6436

Phone

(931) 540-4140

Fax

(931) 540-4142

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Medicare reassignment NPD
• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264
  Medicare reassignment NPD
• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122
  NPD
• Maury Regional Hospital

  • Federally Qualified Health Center (FQHC)
  • Hohenwald, TN
  • NPI 1790108934
  NPD
• Maury Regional Hospital

  • Federally Qualified Health Center (FQHC)
  • Collinwood, TN
  • NPI 1962117713
  NPD
• Maury Regional Hospital Marshall Medical Center

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• Maury Regional Hospital Marshall Medical Center

  • Rural Health Clinic/Center
  • Columbia, TN
  • NPI 1700406881
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1629465133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE",
            "address_2": "SUITE 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016436",
            "telephone_number": "931-540-4140",
            "fax_number": "931-540-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE",
            "address_2": "SUITE 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016436",
            "telephone_number": "931-540-4140",
            "fax_number": "931-540-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelle E May, M.D.
• Pam D Mayer, MS,CCC-SLP
• Trevor Gene Mays, PTA
• Emily Francis McAdams
• Lynn D McAfee
• Scott W. McCall, M.D.
• Megan McCarter, PHARMD
• Ramona Charlene McClain, PHARMD
• Robert Wallace McClure, MD
• Kristy Michelle McCormack, BS

• Family Nurse Practitioner in Columbia, TN
• Providers in Columbia, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.