Active NPI
Theodora McLeskey, ANP-C,MSN,RN
- Adult Health Nurse Practitioner
- Augusta, GA
National Provider Identifier
1811358955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN091604
- Practice address
- 1215 George C. Wilson Drive
Augusta, GA 30909 - Phone
- (706) 736-1284
- NPI assigned
- Mar 17, 2016
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN091604 | GA | Primary |
Addresses
Primary practice location
1215 George C. Wilson Drive
Augusta, GA 30909
Mailing address
1215 George C. Wilson Drive
Augusta, GA 30909
Phone (706) 736-1284
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN091604 | GA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1811358955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 GEORGE C. WILSON DRIVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-736-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 GEORGE C. WILSON DRIVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-736-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLESKEY",
"first_name": "THEODORA",
"credential": "ANP-C,MSN,RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN091604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.