Active NPI
Leslie Jennings, OTR
- Occupational Therapist
- Nashville, AR
National Provider Identifier
1679139497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118980
- Practice address
- 22 Southpark Shopping Ctr
Nashville, AR 71852-3307 - Phone
- (870) 845-5600
- NPI assigned
- May 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118980 | TX | Primary |
Addresses
Primary practice location
22 Southpark Shopping Ctr
Nashville, AR 71852-3307
Mailing address
1726 Kessler Pkwy
Dallas, TX 75208-2725
Phone (903) 285-3572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118980 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1679139497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 KESSLER PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082725",
"telephone_number": "903-285-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SOUTHPARK SHOPPING CTR",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718523307",
"telephone_number": "870-845-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "LESLIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.