Active NPI
Leslie Hernandez
- Psychiatry Physician
- Tucson, AZ
National Provider Identifier
1912389230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R75302
- Practice address
- 2800 E Ajo Way
Tucson, AZ 85713-6204 - Phone
- (520) 874-4501
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R75302 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Tucson, AZ 85713-6204
Mailing address
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-4501
Other names 1
- Leslie Shaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arizona College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3402 S 19TH St
Tacoma, WA 98405-2487
Phone (253) 301-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R75302 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance for South Sound Health | Current | Accepting new patients |
Locations
3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400
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.
-
dba Wellfound Behavioral Health Hospital
- Psychiatric Hospital
- Tacoma, WA
- NPI 1891298980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1912389230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-874-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-874-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "LESLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "R75302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "SHAW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.