Individual provider Active NPI

Leslie Marie Gregg

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1750687455
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 60199151 Issued in WA
Practice address
12721 E Shannon Ave
Apt. 107
Spokane Valley, WA 99216-1651
Phone
(509) 432-3130
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 60199151 WA Primary

Addresses

Primary practice location

12721 E Shannon Ave
Apt. 107
Spokane Valley, WA 99216-1651

Mailing address

12721 E Shannon Ave
Apt. 107
Spokane Valley, WA 99216-1651
Phone (509) 432-3130

Other identifiers 1

IdentifierTypeStateIssuer
RN 60199151OtherWARN LISCENSE

Other names 1

  • Leslie Marie Gregg Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN 60199151WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1750687455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 E SHANNON AVE",
            "address_2": "APT. 107",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161651",
            "telephone_number": "509-432-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 E SHANNON AVE",
            "address_2": "APT. 107",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161651",
            "telephone_number": "509-432-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 60199151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LISCENSE",
            "identifier": "RN 60199151",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GREGG",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.