Leslie Williams Apn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209007351 Issued in IL

Legal business name

LESLIE WILLIAMS APN LLC

Practice address

1007 Martin Luther King Dr
Centralia, IL 62801-3001

Phone

(618) 918-2115

Fax

(618) 918-2142

NPI assigned

Apr 16, 2018

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Leslie Ann Williams, APNNPI 1962647149

Title

Owner

Phone

(618) 918-2115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Ann Williams, FNP

  • Family Nurse Practitioner
  • Centralia, IL
  • NPI 1962647149
  Authorized official Same address or phone
• Mark W Terry, DC

  • Neurology Chiropractor
  • Centralia, IL
  • NPI 1720174394
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1720575806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 STATE ROUTE 161",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016754",
            "telephone_number": "618-339-2114",
            "fax_number": "918-918-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-918-2115",
            "fax_number": "618-918-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE WILLIAMS APN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-918-2115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209007351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Morris Lauder III, ATC, ATL
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• Suzanna Lefebvre, MSW
• Audrey Lemke
• Kelly Leuty, LCPC
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• Sally Johonna Lindsay, LCSW
• Bailey Morgan Lindsey
• Jill Logan

• Family Nurse Practitioner in Centralia, IL
• Providers in Centralia, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.