Active NPI
Leslie A Johnson, F.N.P.
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP 1352
- Practice address
- 19636 N 27TH Ave
Ste 401
Phoenix, AZ 85027-4013 - Phone
- (602) 298-8888
- Fax
- (602) 978-4129
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN091028 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP 1352 | AZ | Primary |
Addresses
Primary practice location
19636 N 27TH Ave
Ste 401
Phoenix, AZ 85027-4013
Mailing address
P.O. Box 29870
Phoenix, AZ 85038-9870
Phone (602) 772-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796617 | Medicaid | AZ | |
| 3Z3967 | Other | AZ | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 W Thunderbird Rd
Banner Health Clinic
Glendale, AZ 85306-4622
Phone (602) 865-5555
5601 W Eugie Ave
Suite 100
Glendale, AZ 85304-1256
Phone (602) 865-4510
9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120
Hospital & facility affiliations
- Banner Thunderbird Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 76.35
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN091028 | AZ | MD | Registered Nurse |
| AP 1352 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients |
Locations
5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811
18699 N 67th Ave
Ste 120
Glendale, AZ 85308
Phone (602) 298-8888
7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100
5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1740255181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 29870",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389870",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19636 N 27TH AVE",
"address_2": "STE 401",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274013",
"telephone_number": "602-298-8888",
"fax_number": "602-978-4129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LESLIE",
"middle_name": "A",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN091028",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP 1352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "796617",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3Z3967",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.