Individual provider Active NPI

Leslie Ernest Hinshaw, M.S., CCC-A

  • Audiologist
  • Albuquerque, NM
National Provider Identifier
1912067174
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2451 Issued in NM
Practice address
Albuquerque Area Indian Health Board, Inc
5015 Prospect Ave NE
Albuquerque, NM 87110-4045
Phone
(505) 764-0036
Fax
(505) 764-0446
NPI assigned
Dec 11, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2451 NM Primary
Audiologist 231H00000X 396 CO

Addresses

Primary practice location

Albuquerque Area Indian Health Board, Inc
5015 Prospect Ave NE
Albuquerque, NM 87110-4045

Mailing address

Albuquerque Area Indian Health Board, Inc
5015 Prospect Ave NE
Albuquerque, NM 87110-4045
Phone (505) 764-0036

Other identifiers 3

IdentifierTypeStateIssuer
000K3526MedicaidNM
Z7095MedicaidNM
HSZ196OtherNMMEDICARE PART B

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

State licenses

LicenseStateTypeSpecialty
396COMDPodiatrist
2451NMMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients
Albuquerque Area Indian Health Board Audiologist Past Accepting new patients
Tribal Audiology Audiologist Past Accepting new patients
Zia Health Center PastSince Sep 4, 2011 Accepting new patients

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1912067174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC",
            "address_2": "5015 PROSPECT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104045",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC",
            "address_2": "5015 PROSPECT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104045",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "LESLIE",
        "middle_name": "ERNEST",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "2451",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K3526",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z7095",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "HSZ196",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.