Active NPI
Lesly S Knowlton, CFNP
- Family Nurse Practitioner
- Belpre, OH
National Provider Identifier
1730275462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA NP-08402
- Practice address
- 407 Main St
Suite 2
Belpre, OH 45714-1615 - Phone
- (740) 315-5709
- Fax
- (304) 865-3700
- NPI assigned
- Oct 4, 2006
- Last updated
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA NP-08402 | OH | Primary |
Addresses
Primary practice location
407 Main St
Suite 2
Belpre, OH 45714-1615
Mailing address
1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3247
Phone (304) 865-3600
Other practice location 1
26 Acme St
Marietta, OH 45750-3306
Phone (740) 374-4540
Other practice location 2
2832 Pike St Ste 1
Parkersburg, WV 26101-8674
Phone (304) 489-3815
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011090 | Medicaid | WV | |
| 000000566952 | Other | OH | ANTHEM |
| P00762198 | Other | OH | RRMCR |
| 000000699823 | Other | OH | ANTHEM |
| 2645310 | Medicaid | OH |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lknowlton218841@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | lknowlton218841@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | lknowlton218841@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | lknowlton218841@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Maple Ave
Suite 100P
Zanesville, OH 43701-1716
Phone (740) 454-4585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA NP-08402 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group LLC | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Welch Urgent Care & Wellness Center LLC | Family | Current | Accepting new patients |
| Urgent Care, Inc West Virginia | Past | Accepting new patients |
Locations
608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904
44525 Marietta Rd
Caldwell, OH 43724
Phone (740) 732-6851
26 Acme St
Marietta, OH 45750
Phone (740) 374-4540
800 Pike St
Ste 2
Marietta, OH 45750
Phone (740) 373-3960
23 N Maysville Ave
Zanesville, OH 43701
Phone (740) 453-0693
2800 Maple Ave
Ste 100P
Zanesville, OH 43701
Phone (740) 454-4585
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
4 Rosemar Cir
Parkersburg, WV 26104
Phone (304) 485-6130
Interoperability endpoints
- https://api.platform.athenahealth.com/8466/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Family Nurse Practitioner
- Caldwell, OH
- NPI 1942579024
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
dba Urgent Care, Inc West Virginia South Parkersburg
- Urgent Care Clinic/Center
- Parkersburg, WV
- NPI 1891052668
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1730275462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 GARFIELD AVE",
"address_2": "SUITE 300",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013247",
"telephone_number": "304-865-3600",
"fax_number": "304-865-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 MAIN ST",
"address_2": "SUITE 2",
"city": "BELPRE",
"state": "OH",
"postal_code": "457141615",
"telephone_number": "740-315-5709",
"fax_number": "304-865-3700"
}
],
"practiceLocations": [
{
"address_1": "26 Acme St",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "457503306",
"country_code": "US",
"telephone_number": "740-374-4540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2832 Pike St Ste 1",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261018674",
"country_code": "US",
"telephone_number": "304-489-3815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLTON",
"first_name": "LESLY",
"middle_name": "S",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA NP-08402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011090",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000566952",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00762198",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000699823",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2645310",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lknowlton218841@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Rosemar Cir",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261041219",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lknowlton218841@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Rosemar Cir",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261041219",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lknowlton218841@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Rosemar Cir",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261041219",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lknowlton218841@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Rosemar Cir",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261041219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Belpre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.