NPIMap

Individual provider Active NPI

Leslie Putman, PA

  • Physician Assistant
  • Middlebury, VT
National Provider Identifier
1902874647
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031618 Issued in VT
Practice address
115 Porter Dr
Middlebury, VT 05753-8629
Phone
(802) 388-4430
NPI assigned
Mar 9, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3042 FL
Physician Assistant 363A00000X 055.0031618 VT Primary

Addresses

Primary practice location

115 Porter Dr
Middlebury, VT 05753-8629

Mailing address

926 NW 13TH Ave
Boynton Beach, FL 33426-2947
Phone (561) 738-3184

Other practice location 1

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050829000609 FL Practitioner - Physician Assistant 3274564364 Reassigns benefits to 7 organizations
I20230131002687 VT Practitioner - Physician Assistant 3274564364 Reassigns benefits to 2 organizations
I20230713002094 LA Practitioner - Physician Assistant 3274564364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878

9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone (561) 336-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0003042FLMDCorneal and Contact Management Optometrist
PA3042FLMDPhysician Assistant
055.0031618VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Mar 24, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Physician Assistant CurrentSince Mar 19, 2012 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Primary Care Medical Associates, Inc. Past Accepting new patients
Primary Care Medical Associates Inc Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Interoperability endpoints

  • Direct secure messaging: lputnam608256@direct.uvmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1902874647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 NW 13TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334262947",
            "telephone_number": "561-738-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538629",
            "telephone_number": "802-388-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334357969",
            "country_code": "US",
            "telephone_number": "561-737-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "LESLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3042",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.