Individual provider Active NPI

Kimberly Rae Leslie, DNP, NP-C

  • Nurse Practitioner
  • Front Royal, VA
National Provider Identifier
1942563044
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175202 Issued in VA
Practice address
120 N Commerce Ave Ste 103
Front Royal, VA 22630-2683
Phone
(540) 631-7337
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 0024175202 VA Primary

Addresses

Primary practice location

120 N Commerce Ave Ste 103
Front Royal, VA 22630-2683

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kleslie312801@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180126001703 VA Practitioner - Nurse Practitioner 5890055594 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince Nov 4, 2017 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 24, 2018 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 24, 2018 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Nov 4, 2017 Accepting new patients
Warren Memorial Hospital Occupaitonal Health Past Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

120 N Commerce Ave
Front Royal, VA 22630
Phone (540) 635-0730

315 W 10th St
Front Royal, VA 22630
Phone (540) 252-0033

120 N Commerce Ave
Ste 103
Front Royal, VA 22630
Phone (540) 536-5121

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

Interoperability endpoints

  • Direct secure messaging: kimberly.leslie.dnp.1@14354.direct.athenahealth.com
  • Direct secure messaging: kleslie312801@soc.inova.org
  • Direct secure messaging: kleslie312801@valleyhealth.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1942563044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COMMERCE AVE STE 103",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302683",
            "telephone_number": "540-631-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kleslie312801@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 N Commerce Ave Ste 103",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.