LESLIE JOY MARTIN (NPI# 1649669847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649669847 |
| Entity Type | Individual |
| Full Name | LESLIE JOY MARTIN |
| Credential | AGNP |
| Practice Address |
4420 Lake Boone Trl Raleigh NC 27607-7505 |
| Practice Telephone | 9197843105 |
| Practice Fax Number | 9197841473 |
| Mailing Telephone | 9197843105 |
| Mailing Fax Number | 9197841473 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5007403 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5007403 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740676915 | Leslie Martin | Speech-Language Pathologist | 2070 Northbrook Blvd Ste A14, North Charleston, SC 29406-9284 | 2015-04-14 |
| 1518393578 | Leslie Erin Martin | Registered Nurse | 2634 Java Ct, Denver, CO 80211-4019 | 2013-09-23 |
| 1467778225 | Leslie Ann Martin | Occupational Therapy Assistant | 404 W Willow Rd, Dale, IN 47523-8947 | 2010-04-19 |
| 1972617918 | Leslie G. Martin | Social Worker | 11301 Wilshire Blvd # -256, Los Angeles, CA 90073-1003 | 2006-08-18 |
| 1154895688 | Leslie Ann Jensen Martin | Marriage & Family Therapist | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-01-17 |
| 1952811804 | Leslie Martin | Massage Therapist | 20 Gilbert Ave, Smithtown, NY 11787-5326 | 2017-10-05 |
| 1700304979 | Leslie Martin | Specialist/Technologist | 2420 E 29th Ave Ste 100, Spokane, WA 99223-4868 | 2017-09-07 |
| 1043732530 | Leslie Mackenzie Martin | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2017-07-17 |
| 1154779619 | Leslie Martin | Counselor | 877 South St, Pittsfield, MA 01201-8242 | 2016-05-25 |
| 1285096990 | Leslie N. Martin | Counselor | 271 Columbia Blvd, Saint Helens, OR 97051-2021 | 2016-03-22 |
| Street Address |
4420 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035405 | Karen Kinney Schneider | Nurse Practitioner | 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 | 2005-07-05 |
| 1700486685 | Cameron Blake Little | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-10-29 |
| 1942811278 | Whitney Dale Marks | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-08-11 |
| 1447869359 | Daneille Barbara Hamlin | Audiologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-07-27 |
| 1427675057 | Robert Brinson Mitchell IIi | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-30 |
| 1912523457 | Driss Zine | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-21 |
| 1619599081 | Kai Kang | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-05-08 |
| 1487281671 | Allison Tharakan | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-26 |
| 1598391435 | Gerald Shane Taylor | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-22 |
| 1982230140 | Catherine Parks Chantrill | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1801428974 | Patricia Lynn Mcgrail | Nurse Practitioner | 2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475 | 2020-02-06 |
| 1467931360 | Dirk M Collevecchio | Nurse Practitioner | 10 Sunnybrook Rd # Clinicb, Raleigh, NC 27610-1808 | 2018-08-10 |
| 1023518339 | Henry Matthew Vanpala | Nurse Practitioner | 1631 Midtown Pl Ste 101, Raleigh, NC 27609-1300 | 2018-02-14 |
| 1740723063 | Kelli Odell Armwood | Nurse Practitioner | 4040 Barrett Dr, Raleigh, NC 27609-6640 | 2016-11-18 |
| 1053868356 | Yun-hua Chiang | Nurse Practitioner | 3404 Wake Forest Rd Fl 1, Raleigh, NC 27609-7340 | 2016-09-02 |
| 1407208788 | Jessica Allyn | Nurse Practitioner | 4822 Six Forks Rd Ste 104, Raleigh, NC 27609-5269 | 2016-07-11 |
| 1023444338 | Jessica Kious-fry | Nurse Practitioner | 11200 Governor Manly Way Ste 303a, Raleigh, NC 27614-7375 | 2013-09-18 |
| 1225313182 | Sandra Britt | Nurse Practitioner | 6008 Creedmoor Rd, Raleigh, NC 27612-2209 | 2011-10-11 |
| 1366760159 | Amy Pike | Nurse Practitioner | 7780 Brier Creek Pkwy Ste 230, Raleigh, NC 27617-7850 | 2010-05-04 |
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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.