Individual provider Active NPI

Leslie C Rogers, BSN, MSN, APRN, FNPC

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1649381112
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003774 Issued in KY
Practice address
125 E Maxwell St
Suite 303
Lexington, KY 40508-2678
Phone
(859) 257-7171
Fax
(859) 257-8232
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3003774 KY Primary
Registered Nurse 163W00000X 1098680 KY

Addresses

Primary practice location

125 E Maxwell St
Suite 303
Lexington, KY 40508-2678

Mailing address

125 E Maxwell St
Suite 303
Lexington, KY 40508-2678
Phone (859) 257-7171

Other identifiers 1

IdentifierTypeStateIssuer
78902897MedicaidKY

Other names 1

  • Leslie Carol Maynard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20081204000443 KY Practitioner - Nurse Practitioner 6103987565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1098680KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Feb 13, 2015 Accepting new patients

Locations

125 E Maxwell St
Ste 303
Lexington, KY 40508
Phone (859) 254-5665

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1649381112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "SUITE 303",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-257-7171",
            "fax_number": "859-257-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "SUITE 303",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-257-7171",
            "fax_number": "859-257-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LESLIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, APRN, FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003774",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1098680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902897",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MAYNARD",
            "middle_name": "CAROL",
            "credential": "BSN, MSN, APRN, FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.