Leslie Renee Elliott, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21542 Issued in TN

Practice address

260 Highway 11 E
Bulls Gap, TN 37711-3416

Phone

(423) 235-4191

Fax

(423) 235-7092

NPI assigned

Sep 9, 2016

Last updated

Nov 4, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Services Consortium of Upper East Tennessee IncGroup PAC ID 0941118111, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rural Health Services Consortium of Upper East Tennessee Inc

  dba Bulls Gap Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bulls Gap, TN
  • NPI 1770583544
  Medicare reassignment Care Compare group NPD
• Rural Health Services Consortium of Upper East Tennessee Inc

  • Federally Qualified Health Center (FQHC)
  • Kingsport, TN
  • NPI 1255130027
  NPD
• Rural Health Services Consortium of Upper East Tennessee Inc

  • Federally Qualified Health Center (FQHC)
  • Rogersville, TN
  • NPI 1679672562
  NPD
• Rural Health Services Consortium of Upper East Tennessee Inc

  dba West Main Medical Center

  • Federally Qualified Health Center (FQHC)
  • Rogersville, TN
  • NPI 1154321966
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation
• Takoma Regional Hospital Inc

  dba Ballad Health Medical Associates

  • General Acute Care Hospital
  • Greeneville, TN
  • NPI 1699819003
  Care Compare affiliation

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1730636556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-235-4191",
            "fax_number": "423-235-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HIGHWAY 11 E",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377113416",
            "telephone_number": "423-235-4191",
            "fax_number": "423-235-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LESLIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ivey Campbell, PHARMD
• Michelle D Cate, FNP
• Tracy L Coffey, FNP
• Cunningham Drugs
• Mark R Doman, M.D.
• Emmaus Medical and Counseling, PLLC
• Gregory Flora
• Jose Garrido, M.D.
• Kristie Vaughn Greenlee, NP
• Megan Ann Hensley

• Family Nurse Practitioner in Bulls Gap, TN
• Providers in Bulls Gap, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.

Verify at the official NPI Registry.