Individual provider Active NPI

Leslie Louise Smith, APRN

  • Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1932560299
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002150 Issued in NV
Practice address
1470 Medical Pkwy
Suite 160
Carson City, NV 89703-4648
Phone
(775) 445-7650
Fax
(775) 461-3090
NPI assigned
Mar 15, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002150 NV Primary

Addresses

Primary practice location

1470 Medical Pkwy
Suite 160
Carson City, NV 89703-4648

Mailing address

1470 Medical Pkwy
Suite 160
Carson City, NV 89703-4648
Phone (775) 445-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160404001509 NV Practitioner - Nurse Practitioner 2466759568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002150NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Mar 21, 2016 Accepting new patients
CTH Physicians Clinic Current Accepting new patients

Locations

1470 Medical Pkwy
Ste 160
Carson City, NV 89703

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

Organizations & group practices 2

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1932560299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PKWY",
            "address_2": "SUITE 160",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034648",
            "telephone_number": "775-445-7650",
            "fax_number": "775-461-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PKWY",
            "address_2": "SUITE 160",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034648",
            "telephone_number": "775-445-7650",
            "fax_number": "775-461-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.