Active NPI
Leslye Dill, PA
- Physician Assistant
- Hutchinson, KS
National Provider Identifier
1972569390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500778
- Practice address
- 1625 E 30TH Ave
Hutchinson, KS 67502-1226 - Phone
- (888) 878-6881
- Fax
- (620) 728-0823
- NPI assigned
- Apr 25, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500778 | KS | Primary |
Addresses
Primary practice location
1625 E 30TH Ave
Hutchinson, KS 67502-1226
Mailing address
1625 E 30TH Ave
Hutchinson, KS 67502-1226
Phone (888) 878-6881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042836 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100408690B | Medicaid | KS | |
| 448560 | Other | KS | FIRST GUARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1972569390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021226",
"telephone_number": "888-878-6881",
"fax_number": "620-728-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021226",
"telephone_number": "888-878-6881",
"fax_number": "620-728-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL",
"first_name": "LESLYE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "042836",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100408690B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "448560",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.