Leslie Noelle Goolsby

Key facts

NPI

1679082002

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

A006216 (AR)

Practice address

420 N West End St Ste B
Springdale, AR 72764-3002

Phone

(479) 872-3050

Fax

(479) 717-6439

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• St Francis House Nwa, Inc Federally Qualified Health Center (FQHC) · Springdale, AR · NPI 1821838996
  Medicare reassignment NPD AR
• St Francis House Nwa, Inc Federally Qualified Health Center (FQHC) · Springdale, AR · NPI 1023328002
  NPD
• St Francis House Nwa, Inc Federally Qualified Health Center (FQHC) · West Fork, AR · NPI 1336986785
  NPD
• St. Francis House Nwa, Inc. Federally Qualified Health Center (FQHC) · Rogers, AR · NPI 1710160098
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc. (67 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2023.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1679082002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N WEST END ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643002",
            "telephone_number": "479-872-3050",
            "fax_number": "479-717-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3162 W Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727047679",
            "country_code": "US",
            "telephone_number": "850-490-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "LESLIE",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

• Estefani Gonzalez, MA, LAC
• Brandon Casey Gooch, DMD
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• Wesley Hana Goodson, LAC
• Jennifer Goodwin, CCC-SLP
• Angela Theresa Gordon, NP
• Steven Corbin Gorgas, DPT
• Megan Rose Gorham, PA-C
• Bailey Ann Gotte
• Bailey Gould

All providers in Springdale, AR · Family Nurse Practitioner in Arkansas