Individual provider Active NPI

Leslie Acacia Reap, MHS, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1740756287
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2807 N Walker Ave Ste 3
Oklahoma City, OK 73103-1345
Phone
(405) 446-9850
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2807 N Walker Ave Ste 3
Oklahoma City, OK 73103-1345

Mailing address

2807 N Walker Ave Ste 3
Oklahoma City, OK 73103-1345
Phone (405) 446-9850

Other practice location 1

6915 Preston Rd
Dallas, TX 75205-1136
Phone (972) 994-9700

Other practice location 2

4221 S Western Ave Ste 4005
Oklahoma City, OK 73109-3436
Phone (405) 644-5190

Other names 1

  • Leslie Acacia Farias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1740756287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N WALKER AVE STE 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031345",
            "telephone_number": "405-446-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N WALKER AVE STE 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031345",
            "telephone_number": "405-446-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6915 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752051136",
            "country_code": "US",
            "telephone_number": "972-994-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 S Western Ave Ste 4005",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093436",
            "country_code": "US",
            "telephone_number": "405-644-5190",
            "fax_number": "405-644-5169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAP",
        "first_name": "LESLIE",
        "middle_name": "ACACIA",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "FARIAS",
            "middle_name": "ACACIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.