Individual provider Active NPI

Leslie Collie, APRN

  • Family Nurse Practitioner
  • Arkadelphia, AR
National Provider Identifier
1679211734
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216887 Issued in AR
Practice address
301 Professional Park Dr
Arkadelphia, AR 71923-5317
Phone
(888) 701-8220
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 216887 AR Primary

Addresses

Primary practice location

301 Professional Park Dr
Arkadelphia, AR 71923-5317

Mailing address

301 Professional Park Dr
Arkadelphia, AR 71923-5317
Phone (888) 710-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220927000207 AR Practitioner - Nurse Practitioner 7719363985 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
216887ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Single Specialty CurrentSince Aug 28, 2022 Accepting new patients
Baptist Health Single Specialty Current Accepting new patients
Baptist Health Single Specialty CurrentSince Aug 28, 2022 Accepting new patients
Baptist Health CurrentSince Aug 28, 2022 Accepting new patients
Baptist Health Single Specialty CurrentSince Aug 28, 2022 Accepting new patients
Baptist Health Single Specialty CurrentSince Aug 28, 2022 Accepting new patients
Baptist Health CurrentSince Aug 28, 2022 Accepting new patients

Locations

2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

6679 Highway 7
Bismarck, AR 71929
Phone (501) 865-2855

10 Montgomery Dr
Caddo Valley, AR 71923
Phone (870) 245-2198

200 E Walnut St
Gurdon, AR 71743
Phone (870) 353-2800

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1484 W 1st St N
Ste 2
Prescott, AR 71857
Phone (870) 887-0155

1409 S Rock St
#D
Sheridan, AR 72150
Phone (870) 942-7911

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Organizations & group practices 7

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1679211734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL PARK DR",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235317",
            "telephone_number": "888-710-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL PARK DR",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235317",
            "telephone_number": "888-701-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "LESLIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

Verify at the official NPI Registry.