LESLIE A MACK (NPI# 1508172552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508172552 |
| Entity Type | Individual |
| Full Name | LESLIE A MACK |
| Credential | ARNP |
| Practice Address |
2090 S Ohio St Suite 3w Salina KS 67401 |
| Practice Telephone | 7853092323 |
| Practice Fax Number | 7853092331 |
| Mailing Telephone | 7853092323 |
| Mailing Fax Number | 7853092331 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 13-71194-071 | KS | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 53-75191-071 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-75191-071 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200743910D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 651 E Prescott Rd, Salina, KS 674017408 | 7858257251 | 7858256887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170171 | Leslie Mack | Specialist/Technologist | 576 Meadow Ln Unit 7, Wheelersburg, OH 45694-8119 | 2019-05-23 |
| 1740747633 | Leslie Mack | Registered Nurse | 400 E Fordham Rd, Bronx, NY 10458-5039 | 2019-02-27 |
| 1457733792 | Leslie Mack | Dentist | 2 Quincy Dr, Levittown, PA 19057-1924 | 2015-06-23 |
| 1689766750 | Leslie Rae Mack | Counselor | 510 4th St S, Fargo, ND 58103 | 2006-09-28 |
| Street Address |
2090 S OHIO ST SUITE 3W |
| City | SALINA |
| State | KS |
| Zip Code | 67401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194895 | Kyle D. Elmore | Family Medicine | 2090 S Ohio St, Salina, KS 67401-6702 | 2006-04-18 |
| 1326671686 | April Dawn Dickey | Nurse Practitioner | 2090 S Ohio St, Salina, KS 67401-6702 | 2020-02-14 |
| 1972092195 | Lynette Karcher | Radiology | 2090 S Ohio St, Salina, KS 67401-6702 | 2018-05-03 |
| 1093248668 | Cameron Petro-sakuma | Internal Medicine | 2090 S Ohio St, Salina, KS 67401-6702 | 2017-04-10 |
| 1265815401 | Marcella Newcomer | Dietitian, Registered | 2090 S Ohio St, Suite 3w, Salina, KS 67401 | 2015-07-07 |
| 1740692888 | Krista Ranae Dewitt | Family Medicine | 2090 S Ohio St, Salina, KS 67401 | 2014-05-23 |
| 1528486370 | Bradley Ray Irvin | Family Medicine | 2090 S Ohio St, Salina, KS 67401-6702 | 2014-03-30 |
| 1508109299 | Salina Regional Health Center, Inc. | Dietitian, Registered | 2090 S Ohio St, Salina, KS 67401-6702 | 2013-04-01 |
| 1316293566 | Kathleen E. Corona | Nurse Practitioner | 2090 S Ohio St, Salina, KS 67401-6702 | 2012-07-25 |
| 1467716480 | Garrett Ward Hooker | Family Medicine | 2090 S Ohio St, Salina, KS 67401-6702 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
| Find all providers in zip 67401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1114333002 | Barbara Gack | Nurse Practitioner | 520 S Santa Fe Ave, Suite 300, Suite 200, Salina, KS 67401 | 2014-07-11 |
| 1780006585 | Keri Kavouras | Nurse Practitioner | 501 S Santa Fe Ave Ste 100, Salina, KS 67401-4189 | 2014-01-13 |
| 1407824196 | Jennifer Ann Dunn | Nurse Practitioner | 520 S. Santa Fe, Suite 120, Salina, KS 67401 | 2006-03-09 |
| 1740255017 | Debbie S. Michaels | Nurse Practitioner | 400 S. Santa Fe Ave, Suite 200, Salina, KS 67401-4144 | 2006-02-21 |
| 1225656192 | Ciera Rogers | Nurse Practitioner | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-07-08 |
| 1972145803 | Amy M Radatz | Nurse Practitioner | 737 E Crawford St, Salina, KS 67401-5103 | 2019-10-11 |
| 1265098354 | Kelsey Joyce Mckenna | Nurse Practitioner | 1001 S Ohio St, Salina, KS 67401-5364 | 2019-05-14 |
| 1265900468 | Holli Jayne Henoch | Nurse Practitioner | 1001 S Ohio St, Salina, KS 67401 | 2018-11-06 |
| 1902311152 | Molly A Mansur | Nurse Practitioner | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2017-12-11 |
| Find all providers in SALINA | ||||
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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.