Leslie Nichole Womack-Young, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-4703 Issued in HI

Practice address

595 W Main St
Watertown, NY 13601-1381

Phone

(888) 585-8882

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hawaiian Islands Dermatology, LLC

  • Dermatology Physician
  • Kailua, HI
  • NPI 1891310355
  Medicare reassignment NPD
• Kailua Dermatology Centers of Hawaii, LLC

  • Medical Physician Assistant
  • Kailua, HI
  • NPI 1588843502
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1851090146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 KEOLU DR STE 107",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343800",
            "telephone_number": "808-263-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W MAIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011381",
            "telephone_number": "888-585-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK-YOUNG",
        "first_name": "LESLIE",
        "middle_name": "NICHOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "833262-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Witek, M.D.
• Richard L Withington, M.D.
• Whitney W Witter, MSW
• Krista Wohnsiedler, COTA
• Fonda Syche Wolf, P.T.
• Diane Marie Wood, PT
• Amanda Lyn Woolnough, RDN
• Emily Laura Worden
• Tammi Worden
• Jaime Worrell

• Nurse Practitioner in Watertown, NY
• Providers in Watertown, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.