Individual provider Active NPI

Leslie Craig Barker, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1902320435
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024174454 Issued in VA
Practice address
1150 Northwest Dr
Charlottesville, VA 22901-2309
Phone
(434) 973-7933
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024174454 VA
Primary Care Nurse Practitioner 363LP2300X 0024174454 VA
Adult Health Nurse Practitioner 363LA2200X 0024174454 VA Primary

Addresses

Primary practice location

1150 Northwest Dr
Charlottesville, VA 22901-2309

Mailing address

1125 Hunters Ridge Rd
Earlysville, VA 22936-9570
Phone (434) 989-3139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171117000689 VA Practitioner - Nurse Practitioner 6507122926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174454VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie C Barker NP LLC Adult Health CurrentSince Sep 12, 2017 Accepting new patients

Locations

1150 Northwest Dr
Charlottesvle, VA 22901
Phone (434) 466-3142

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1902320435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HUNTERS RIDGE RD",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229369570",
            "telephone_number": "434-989-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NORTHWEST DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012309",
            "telephone_number": "434-973-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "LESLIE",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024174454",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024174454",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024174454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.