Active NPI
Leshonda Quattlebaum
- Registered Nurse
- McCrory, AR
National Provider Identifier
1912831058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 223400
- Practice address
- 509 N Jackson St
MC Crory, AR 72101-8572 - Phone
- (501) 278-6644
- NPI assigned
- Jun 12, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 223400 | AR | Primary |
Addresses
Primary practice location
509 N Jackson St
MC Crory, AR 72101-8572
Mailing address
509 N Jackson St
MC Crory, AR 72101-8572
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1912831058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N JACKSON ST",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721018572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N JACKSON ST",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721018572",
"telephone_number": "501-278-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUATTLEBAUM",
"first_name": "LESHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "223400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McCrory, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.