MRS. LESLIE MARIE HEISER (NPI# 1124450648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124450648 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE MARIE HEISER |
| Other Name | LESLIE MARIE YARBERRY |
| Credential | FNP-BC |
| Practice Address |
180 Emory Rd Blaine TN 37709-2420 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8659334110 |
| Practice Fax Number | 8659334729 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN159964 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN17718 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
180 EMORY RD |
| City | BLAINE |
| State | TN |
| Zip Code | 37709-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258652 | Mary C Russell | Nurse Practitioner | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-07-12 |
| 1255801809 | Tara Danielle Atkins | Registered Nurse | 180 Emory Rd, Blaine, TN 37709 | 2018-11-27 |
| 1851899066 | Jessica Nicole Morgan | Licensed Practical Nurse | 180 Emory Rd, Blaine, TN 37709-2420 | 2018-01-23 |
| 1386625325 | Robert Earl Saunders Jr. | Social Worker | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-11-08 |
| 1740281252 | Vaughan Dabney Hall | Family Medicine | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-08-09 |
| 1568463552 | John Andrew Neece | Psychologist | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750841 | Andrews Physical Therapy - Blaine, LLC | Physical Therapist | 1240 Rutledge Pike, Blaine, TN 37709 | 2020-11-03 |
| 1669891248 | Tammy Gould | Nurse Practitioner | 1066 Rutledge Pike, Blaine, TN 37709 | 2014-04-10 |
| 1295228005 | Wanda Fay White | Nurse Practitioner | 586 Rutledge Pike, Blaine, TN 37709-2314 | 2018-06-07 |
| 1336386440 | Cherokee Health Systems | Psychologist | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2009-01-12 |
| 1851909097 | Rachel Miriam Maskin | Student in an Organized Health Care Education/Training Program | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2020-07-14 |
| 1225680010 | Andrea Maria Gorrondona | Student in an Organized Health Care Education/Training Program | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2019-07-11 |
| 1568022168 | Whitley Paige Nicely | Registered Nurse | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2019-06-17 |
| 1942863915 | Kelley Buell | Nurse Practitioner | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2019-04-16 |
| 1366908717 | Joy Long-taylor | Licensed Practical Nurse | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2019-02-11 |
| 1548744378 | Fleshia Patches Graves | Technician, Pathology | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2018-09-18 |
| Find all providers in zip 37709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574557 | Karrie Lynn Fugate | Nurse Practitioner | 424 121st Ave Ne, Blaine, MN 55434-3383 | 2018-10-22 |
| 1396228912 | Bariaala B Kpuinen | Nurse Practitioner | 1725 124th Ave Ne, Blaine, MN 55449-5341 | 2018-09-10 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1295228005 | Wanda Fay White | Nurse Practitioner | 586 Rutledge Pike, Blaine, TN 37709-2314 | 2018-06-07 |
| 1891248316 | Rebecca Gail Patton | Nurse Practitioner | 1117 Cliff Top Rd, Blaine, TN 37709-5923 | 2016-08-02 |
| 1831474154 | Sharon Key Payne | Nurse Practitioner | 1066 Rutledge Pike, Blaine, TN 37709-3027 | 2011-10-18 |
| 1811295629 | Jamie Jones Graves | Nurse Practitioner | 880 Rutlege Pike, Blaine, TN 37709-2420 | 2011-03-02 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| 1699794271 | Melissa A Mcclellan | Nurse Practitioner | 2357 108th Ln Ne, Mn002, Blaine, MN 55449-5222 | 2006-07-18 |
| 1093767634 | Teresa L. Regier | Nurse Practitioner | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2006-05-16 |
| Find all providers in BLAINE | ||||
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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.