Leslie A Davis, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007214 Issued in KY

Practice address

5607 Dickenson Hwy
Clintwood, VA 24228

Phone

(276) 926-4601

Fax

(276) 926-4602

NPI assigned

Nov 16, 2011

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Leslie A Whitaker Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: leslie.davis.p1@direct.mtncomp.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1720355977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287099",
            "telephone_number": "276-926-4601",
            "fax_number": "276-926-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "276-926-4601",
            "fax_number": "276-926-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587425",
            "country_code": "US",
            "telephone_number": "606-633-4871",
            "fax_number": "606-633-1874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007214",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720355977",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "WHITAKER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene Henry Collins, ED.S. NCSP
• Lindsay Sutherland Compton, M.S. CCC-SLP
• Jaime A Counts, MA
• James Counts, BA
• Selena Culbertson, BS
• David J. Deel, PHARM.D.
• Eliza Hope Deel
• Patrick Deel, PHARM.D
• Bernard P. Dhas, P.T.
• Dickenson After Hours Clinic, Inc

• Nurse Practitioner in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.