Individual provider Active NPI

Lesley Handjis, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1780075077
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124136 Issued in AL
Practice address
1100 Ruby Tyler Parkway
Tuscaloosa, AL 35404
Phone
(205) 759-2582
Fax
(205) 759-2985
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-124136 AL Primary

Addresses

Primary practice location

1100 Ruby Tyler Parkway
Tuscaloosa, AL 35404

Mailing address

1100 Ruby Tyler Parkway
Tuscaloosa, AL 35404
Phone (205) 759-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150528001211 AL Practitioner - Nurse Practitioner 4587984877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Tfmedical LLCGroup PAC ID 2264776509, 4 clinicians

Practice addresses (Care Compare)

7700 Hwy 69 S
Suite C
Tuscaloosa, AL 35405-8784
Phone (205) 349-1040

Hospital & facility affiliations

  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-124136ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tfmedical LLC CurrentSince Sep 1, 2023 Accepting new patients
Tuskaloosa Internal Medicine LLC CurrentSince Mar 16, 2015 Accepting new patients

Locations

7700 Highway 69 S
Tuscaloosa, AL 35405

7700 Highway 69 S
Ste C
Tuscaloosa, AL 35405
Phone (205) 349-1040

1100 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 759-2582

601 Bear Creek Rd
Tuscaloosa, AL 35405
Phone (205) 349-1040

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1780075077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 RUBY TYLER PARKWAY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35404",
            "telephone_number": "205-759-2582",
            "fax_number": "205-759-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RUBY TYLER PARKWAY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35404",
            "telephone_number": "205-759-2582",
            "fax_number": "205-759-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDJIS",
        "first_name": "LESLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.