Individual provider Active NPI

Leslie Smith Baum, APRN, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1669101309
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31849 Issued in TN
Practice address
160 W University Pkwy Ste C
Jackson, TN 38305-1667
Phone
(731) 300-6155
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31849 TN Primary

Addresses

Primary practice location

160 W University Pkwy Ste C
Jackson, TN 38305-1667

Mailing address

PO Box 1
Henning, TN 38041-0001
Phone (731) 780-8171

Other identifiers 1

IdentifierTypeStateIssuer
31849OtherTNSTATE OF TN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://thekidneyexperts.com/?utm_source=GMB&utm_medium=Yext Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803001856 TN Practitioner - Nurse Practitioner 9638551930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Experts PLLCGroup PAC ID 5597015131, 9 clinicians
Armour Family Medicine, PLLCGroup PAC ID 7012057854, 7 clinicians

Practice addresses (Care Compare)

1575 Parr Ave
Suite B
Dyersburg, TN 38024-3112
Phone (731) 286-1510

728 W Sherrod Ave
Covington, TN 38019-3024
Phone (901) 857-2296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Experts PLLC CurrentSince Jul 26, 2022 Accepting new patients
Armour Family Medicine, PLLC Past Accepting new patients

Locations

1995 Highway 51 S
Ste 208
Covington, TN 38019
Phone (901) 476-7070

1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510

160 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 286-1510

Interoperability endpoints

  • Direct secure messaging: lbaum37452@direct.davitaphysiciansolutions.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1669101309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "HENNING",
            "state": "TN",
            "postal_code": "380410001",
            "telephone_number": "731-780-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051667",
            "telephone_number": "731-300-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "LESLIE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "31849",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://thekidneyexperts.com/?utm_source=GMB&utm_medium=Yext",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "160 W University Pkwy Ste C",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383051667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.