Leslie Renee' McQueen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012230 Issued in KY

Practice address

613 Main St
Crab Orchard, KY 40419-6520

Phone

(606) 370-4011

Fax

(606) 370-4012

NPI assigned

Jun 7, 2018

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spivey Medical, PLLCGroup PAC ID 1355650300, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22146/brand/1/csg/1/fhir/r4
• Direct secure messaging: leslie.mcqueen.1@22146.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spivey Medical, PLLC

  dba The Ready Care Clinic

  • Clinic/Center
  • Lawrenceburg, KY
  • NPI 1093199242
  Medicare reassignment Care Compare group NPD
• Home Health of Jefferson Co, LLC

  dba Norton Home Health

  • Home Health Agency
  • Louisville, KY
  • NPI 1871940841
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1821581547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 HAMILTON VALLEY RD",
            "city": "CRAB ORCHARD",
            "state": "KY",
            "postal_code": "404199659",
            "telephone_number": "859-339-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MAIN ST",
            "city": "CRAB ORCHARD",
            "state": "KY",
            "postal_code": "404196520",
            "telephone_number": "606-370-4011",
            "fax_number": "606-370-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "LESLIE",
        "middle_name": "RENEE'",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100560000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14271226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crab Orchard Family Practice Clinic, Inc.
• Cumberland Family Medical Center Inc (Crab Orchard Elementary Healthy Kids Clinic)
• East End Ambulance Service Inc
• Lincoln County Health Department (Crab Orchard Elementary School Health Office)
• Karen McCoy
• Elizabeth A Meeks, APRN
• Ruth H. Nelson, APRN
• Primary Care of the Bluegrass, LLC (Crab Orchard Primary Care)
• Jordan W Warren, APRN
• Rachel Norris Wright, LCSW

• Family Nurse Practitioner in Crab Orchard, KY
• Providers in Crab Orchard, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.

Verify at the official NPI Registry.