Individual provider Active NPI

Leslie Lovelady, NP-C

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1861836611
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-104451 Issued in AL
Practice address
185 Whitesport Dr SW Ste 6
Huntsville, AL 35801-6487
Phone
(256) 650-0306
Fax
(256) 650-0403
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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 1-104451 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW Ste 6
Huntsville, AL 35801-6487

Mailing address

185 Whitesport Dr SW Ste 6
Huntsville, AL 35801-6487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130626000761 AL Practitioner - Nurse Practitioner 4789823519 Reassigns benefits to 1 organization
I20190405001247 MT Practitioner - Nurse Practitioner 4789823519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Medical Associates 23 clinicians

Practice addresses (Care Compare)

1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515

Hospital & facility affiliations

  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mednorth Kalispell Urgent Care Clinic, LLC CurrentSince Jan 20, 2019 Accepting new patients
Emergency Physicians Group CurrentSince Jun 24, 2013 Accepting new patients
Glacier Medical Associates CurrentSince May 24, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Glacier Medical Associates Past Accepting new patients
Image of Eve Restored, Inc PastSince Mar 1, 2017 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

500 12th Ave W
Columbia Falls, MT 59912
Phone (406) 862-2515

500 12th Ave W
Ste 1B
Columbia Fls, MT 59912

2316 US Highway 93 N
Kalispell, MT 59901
Phone (406) 755-3991

2310 US Highway 2 E
Ste 4
Kalispell, MT 59901
Phone (406) 862-2515

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

Organizations & group practices 6

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 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1861836611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-650-0306",
            "fax_number": "256-650-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELADY",
        "first_name": "LESLIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.