Individual provider Active NPI

Leslie Camille O'Neal Brewington, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1912033689
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201644 Issued in NC
Practice address
5587 Garden Village Way Ste a
Greensboro, NC 27410
Phone
(336) 282-1251
Fax
(336) 282-1252
NPI assigned
Feb 26, 2007
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201644 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201644 NC Primary

Addresses

Primary practice location

5587 Garden Village Way Ste a
Greensboro, NC 27410

Mailing address

65 Lakewood VW
Sanford, NC 27332-6276
Phone (336) 442-5012

Other practice location 1

1510 Martin St
Winston Salem, NC 27103-4906
Phone (336) 760-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090723000222 NC Practitioner - Nurse Practitioner 4688726508 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Piedmont, Inc. Psychiatric/Mental Health CurrentSince Jun 1, 2014 Accepting new patients
Family Service of the Piedmont, Inc CurrentSince Jun 1, 2014 Accepting new patients
1St Choice Health Services LLC Past Accepting new patients
1St Choice Health Services, LLC PastSince Jan 12, 2016 Accepting new patients

Locations

315 E Washington St
Greensboro, NC 27401
Phone (336) 387-6161

902 Bonner Dr
Jamestown, NC 27282
Phone (336) 387-6161

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1912033689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LAKEWOOD VW",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273326276",
            "telephone_number": "336-442-5012",
            "fax_number": "336-282-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 GARDEN VILLAGE WAY STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-282-1251",
            "fax_number": "336-282-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Martin St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034906",
            "country_code": "US",
            "telephone_number": "336-760-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWINGTON",
        "first_name": "LESLIE",
        "middle_name": "CAMILLE O'NEAL",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201644",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.