Individual provider Active NPI

Lesly Hollon

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1912392432
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN79056-NP-C Issued in WV
Practice address
1249 15TH St Ste 3000
Huntington, WV 25701-3663
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009320 KY
Family Nurse Practitioner 363LF0000X 30093200 KY
Family Nurse Practitioner 363LF0000X APRN79056-NP-C WV Primary

Addresses

Primary practice location

1249 15TH St Ste 3000
Huntington, WV 25701-3663

Mailing address

PO Box 2379
Ashland, KY 41105-2379

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lesly.hollon1@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150903002982 KY Practitioner - Nurse Practitioner 6406162502 Reassigns benefits to 1 organization
I20171211000676 WV Practitioner - Nurse Practitioner 6406162502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1249 15TH St
Suite 2000
Huntington, WV 25701-3662
Phone (304) 691-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009320KYMDNurse Practitioner
30093200KYMDFamily Nurse Practitioner
APRN79056-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Sep 23, 2017 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Sep 23, 2017 Accepting new patients
Kings Daughters Medical Specialties Inc., Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

617 23rd St
Ste 400
Ashland, KY 41101
Phone (606) 329-1770

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086

Interoperability endpoints

  • Direct secure messaging: lesly.hollon1@marshall.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1912392432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST STE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLON",
        "first_name": "LESLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "30093200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN79056-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lesly.hollon1@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St Ste 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.