Individual provider Active NPI

Leslie Robin Whaley, FNP

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1992042287
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17292 Issued in TN
Practice address
306 N Chancery St
McMinnville, TN 37110-2048
Phone
(931) 474-4700
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17292 TN Primary

Addresses

Primary practice location

306 N Chancery St
McMinnville, TN 37110-2048

Mailing address

306 N Chancery St
McMinnville, TN 37110-2048
Phone (931) 474-4700

Other practice location 1

236 E Main St
McMinnville, TN 37110-2508
Phone (931) 815-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210128000276 TN Practitioner - Nurse Practitioner 7214341528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Family Health LLCGroup PAC ID 8527474824, 3 clinicians

Practice addresses (Care Compare)

231 Northgate Dr
Suite 218
McMinnville, TN 37110-1436
Phone (931) 507-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17292TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Family Health LLC Family CurrentSince Oct 23, 2020 Accepting new patients
Pioneer Pediatrics, PLLC Past Accepting new patients

Locations

231 Northgate Dr
Ste 218
McMinnville, TN 37110
Phone (931) 507-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23065/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Infinity Family Health LLCMcMinnville, TN, CCN 883859 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
Operational/Managerial Control
Oct 23, 2020
Oct 23, 2020
Oct 23, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1992042287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 E Main St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371102508",
            "country_code": "US",
            "telephone_number": "931-815-5437",
            "fax_number": "931-507-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "LESLIE",
        "middle_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.