Mary Ann Leglise

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN53304 Issued in NV

Practice address

480 Galletti Way BLDG 8N
Sparks, NV 89431-5564

Phone

(775) 688-1633

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of Nevada - PRTF North

  • Psychiatric Residential Treatment Facility
  • Sparks, NV
  • NPI 1417582230
  NPD

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1861020372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 GOLDEN EAGLE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232046",
            "telephone_number": "775-233-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WAY BLDG 8N",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315564",
            "telephone_number": "775-688-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGLISE",
        "first_name": "MARY ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NV",
            "license": "RN53304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maleglise@dcfs.nv.gov",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "480 Galletti Way Bldg 8N",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894315564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ivy Lee
• Lisa Christine Lee, MA, CADC-I, CPRSS
• Susan F Lee, RN
• Crystal Leeborba-Harvey
• Michelle Leeborba-Harvey, MFT
• Shaylin Lehman
• Valerie Dianne Leitko
• Margot M Leland, PHARMD
• Dan Arthur Lemaire, MFTI
• Brittany Lemons, M.D.

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Sparks, NV
• Providers in Sparks, NV by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.