Active NPI
Leslie W Sands, FNP
- Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 58105
- Practice address
- 238 Summar Dr
Jackson, TN 38301-3906 - Phone
- (731) 935-8200
- Fax
- (731) 935-8327
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58105 | TN | |
| Nurse Practitioner | 363L00000X | 58105 | TN | Primary |
Addresses
Primary practice location
238 Summar Dr
Jackson, TN 38301-3906
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
Phone (731) 660-8759
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
223 S Court St
Tiptonville, TN 38079-1305
Phone (731) 253-7780
238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 541-8270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58105 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways of Tennessee, Inc. | Current | Accepting new patients |
Locations
1120 Tammbell St
Brownsville, TN 38012
Phone (731) 541-8344
1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393
33 Directors Row
Ste A
Jackson, TN 38305
Phone (731) 541-7605
1270 Union University Dr
Ste D
Jackson, TN 38305
Phone (731) 265-6450
238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200
1804 Highway 45 Byp
Ste 216
Jackson, TN 38305
Phone (731) 664-6327
9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197
4039 Highland St
Milan, TN 38358
Phone (731) 660-8755
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
223 S Court St
Tiptonville, TN 38079
Phone (731) 253-7780
930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333
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.
-
- Clinic/Center
- Jackson, TN
- NPI 1497721609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1659312106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013906",
"telephone_number": "731-935-8200",
"fax_number": "731-935-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "LESLIE",
"middle_name": "W",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "58105",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "58105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.