Individual provider Active NPI

Leslee Joan Testa, RNC, MSN, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1871592147
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1258 Issued in AZ
Practice address
4319 W Bell Rd
Glendale, AZ 85308-3530
Phone
(602) 888-0448
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN087497 AZ
Family Nurse Practitioner 363LF0000X RN087497 AZ
Family Nurse Practitioner 363LF0000X AP1258 AZ Primary

Addresses

Primary practice location

4319 W Bell Rd
Glendale, AZ 85308-3530

Mailing address

4319 W Bell Rd
Glendale, AZ 85308-3530
Phone (602) 888-0448

Other practice location 1

20325 N 51st Ave
Suite 170
Glendale, AZ 85308-5674
Phone (623) 249-4928 ext. 3352

Other identifiers 1

IdentifierTypeStateIssuer
187182MedicaidAZ

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Banner -- University Primary Care Physicians LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1871592147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083530",
            "telephone_number": "602-888-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083530",
            "telephone_number": "602-888-0448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085674",
            "country_code": "US",
            "telephone_number": "623-249-4928 x3352",
            "fax_number": "623-249-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTA",
        "first_name": "LESLEE",
        "middle_name": "JOAN",
        "credential": "RNC, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN087497",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN087497",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187182",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.