Individual provider Active NPI

Leslie B. Vannucci

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1871759696
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0990395-NP Issued in CO
Practice address
5340 S Quebec St # N350
Greenwood Village, CO 80111-1909
Phone
(702) 622-7766
NPI assigned
Jul 31, 2008
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0990395-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0990395-NP CO Primary
Registered Nurse 163W00000X RN49107 NV

Addresses

Primary practice location

5340 S Quebec St # N350
Greenwood Village, CO 80111-1909

Mailing address

5340 S Quebec St # N350
Greenwood Village, CO 80111-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20150708000775 CO Practitioner - Nurse Practitioner 8224340005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8490 E Crescent Pkwy
Suite 200
Greenwood Village, CO 80111-2802
Phone (720) 316-6434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN49107NVMDRegistered Nurse
0990395-NPCOMDPsychiatric/Mental Health Nurse Practitioner
APN.0990395-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group of Colorado, P.C. Psychiatric/Mental Health CurrentSince Sep 9, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince May 18, 2015 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince May 18, 2015 Accepting new patients
Mindful Therapy Group of Colorado, PC Psychiatric/Mental Health CurrentSince Sep 9, 2024 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

8490 E Crescent Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (720) 316-6434

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 5

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1871759696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST # N350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST # N350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "702-622-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNUCCI",
        "first_name": "LESLIE",
        "middle_name": "B.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0990395-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990395-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN49107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.