Individual provider Active NPI

Leslie S Coley, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • Clearwater, FL
National Provider Identifier
1861858987
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CL1181442 Issued in FL
Practice address
1484 Gulf to Bay Blvd Unit 4
Clearwater, FL 33755
Phone
(813) 530-6773
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CL1181442 FL Primary

Addresses

Primary practice location

1484 Gulf to Bay Blvd Unit 4
Clearwater, FL 33755

Mailing address

1484 Gulf to Bay Blvd Unit 4
Clearwater, FL 33755
Phone (813) 530-6773

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

State licenses

LicenseStateTypeSpecialty
CL1181442FLMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1861858987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 GULF TO BAY BLVD UNIT 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33755",
            "telephone_number": "813-530-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 GULF TO BAY BLVD UNIT 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33755",
            "telephone_number": "813-530-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1181442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.