Active NPI
Leslie Susan Secrist, APRN
- Family Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0030151
- Practice address
- 7300 Beechmont Ave
Cincinnati, OH 45230-4119 - Phone
- (513) 232-9100
- NPI assigned
- Nov 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0030151 | OH | Primary |
Addresses
Primary practice location
7300 Beechmont Ave
Cincinnati, OH 45230-4119
Mailing address
24130 Van Wedding Rd
Sunman, IN 47041-9476
Phone (513) 289-8153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- 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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933
1778 E State Rd
Shelbyville, IN 46176-1846
Phone (463) 235-3043
315 S Memorial Dr
New Castle, IN 47362-4904
Phone (765) 518-8100
4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0030151 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accudoc Inc PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| CG Medical Associates Inc | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
20 Alpine Dr
Batesville, IN 47006
Phone (812) 932-3224
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
1778 E State Road 44
Shelbyville, IN 46176
Phone (463) 235-3043
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
10541 Harrison Ave
Harrison, OH 45030
Phone (513) 367-2103
620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600
540 W Central Ave
Springboro, OH 45066
Phone (513) 746-6000
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Urgent Care Clinic/Center
- Harrison, OH
- NPI 1619372497
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1740945740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24130 VAN WEDDING RD",
"city": "SUNMAN",
"state": "IN",
"postal_code": "470419476",
"telephone_number": "513-289-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304119",
"telephone_number": "513-232-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECRIST",
"first_name": "LESLIE SUSAN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0030151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.