LESLIE BROOKE CHARLEVILLE (NPI# 1043818941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043818941 |
| Entity Type | Individual |
| Full Name | LESLIE BROOKE CHARLEVILLE |
| Credential | ARNP |
| Practice Address |
10001 95th Ave Indianola IA 50125-7181 |
| Practice Telephone | 2259366814 |
| Mailing Telephone | 2259366814 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A158761 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10001 95TH AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-7181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902383193 | Oasis Home Medical Visits | Nurse Practitioner | 108 Whittington Dr, Indianola, MS 38751-3434 | 2018-07-20 |
| 1023517125 | Holly E Labertew | Nurse Practitioner | 900 E Salem Ave, Indianola, IA 50125-2830 | 2018-02-05 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1578020459 | Jacquelyne D Brown | Nurse Practitioner | 131 Main St, Indianola, MS 38751-2849 | 2019-02-27 |
| 1518450410 | Elizabeth Whites | Nurse Practitioner | 121 E Baker St, Indianola, MS 38751-2450 | 2018-06-14 |
| 1154842409 | Kristen Smith | Nurse Practitioner | 122 E Baker St, Indianola, MS 38751-2451 | 2017-06-27 |
| 1063844249 | Bobby Lee Paxton | Nurse Practitioner | 122 E Baker St, Indianola, MS 38751-2451 | 2013-07-30 |
| 1407120439 | Teresa Ann Kolarik | Nurse Practitioner | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2012-03-08 |
| 1851671820 | Terrie R Rowland | Nurse Practitioner | 122 E Baker St, Indianola, MS 38751-2451 | 2011-08-23 |
| Find all providers in INDIANOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.