CHARLES J LEISTNER III (NPI# 1669002978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669002978 |
| Entity Type | Individual |
| Full Name | CHARLES J LEISTNER III |
| Credential | APRN |
| Practice Address |
776 E 1485 Rd Lawrence KS 66046-9265 |
| Practice Telephone | 7859171866 |
| Mailing Telephone | 7859171866 |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-79245-121 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
776 E 1485 RD |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66046-9265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770913659 | Jennifer Lea Reed | Counselor | 2107 Maple Ln., Lawrence, KS 66046 | 2013-11-14 |
| 1578995668 | Erin Lyn Ward | Social Worker | 2141 Maple Ln, Lawrence, KS 66046 | 2013-07-31 |
| 1043588197 | Bridget Ellen Gillespie | Pharmacist | 400 W 23rd Street, Lawrence, KS 66046 | 2011-12-05 |
| 1992018600 | Michael John Atteberry | Optometrist | 3201 S Iowa, Lawrence, KS 66046 | 2010-07-22 |
| 1275749491 | Independence Inc | Voluntary or Charitable | 2001 Haskell Avenue, Lawrence, KS 66046 | 2007-05-15 |
| 1679787352 | Independence Inc. Pass Program | Home Health | 2001 Haskell Ave, Lawrence, KS 66046 | 2007-05-10 |
| 1972724532 | Dana L White | Occupational Therapist | 325 Maine, Lawrence, KS 66046 | 2007-05-01 |
| 1265575203 | David Emroy Cornelius | Registered Nurse | 2415 Massachesetts, Lawrence, KS 66046 | 2007-02-15 |
| 1750489753 | Monte J Clumsky | Dentist | 2706 Iowa, Suite A, Lawrence, KS 66046 | 2006-09-21 |
| 1508971052 | Brent Robert Jones | Dentist | 2348 Iowa Street, Lawrence, KS 66046 | 2006-08-21 |
| Find all providers in zip 66046 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889312 | Brittany Renee Horn | Nurse Practitioner | 2510 W 9th Ter, Lawrence, KS 66049-2600 | 2020-07-28 |
| 1154944148 | Shira Wender | Nurse Practitioner | 23 Rockaway Tpke, Lawrence, NY 11559-1818 | 2020-05-25 |
| 1760945497 | Brian Carpenter | Nurse Practitioner | 290 Merrimack St Ste 242, Lawrence, MA 01843-1783 | 2019-04-10 |
| 1770067985 | Katrina San Juan | Nurse Practitioner | 61 Barberry Ct, Lawrence, NJ 08648-4821 | 2018-09-24 |
| 1043738008 | Kathy Lynn Ramirez | Nurse Practitioner | 330 Arkansas St Ste 205, Lawrence, KS 66044-1485 | 2017-08-30 |
| 1508392564 | Samantha Durland | Nurse Practitioner | 1112 W 6th St Ste 210b, Lawrence, KS 66044-2215 | 2017-05-11 |
| 1750761714 | Crystal Sciarrino | Nurse Practitioner | 1049 E 1600 Rd, Lawrence, KS 66046-9276 | 2015-06-04 |
| 1457656787 | Allison Mary Veeder | Nurse Practitioner | 1316 Morgan Ct, Lawrence, KS 66049-3967 | 2011-01-18 |
| 1003110446 | Miriam Colleen Slaugh | Nurse Practitioner | 330 Arkansas Suite 120, Lawrence, KS 66044 | 2010-12-28 |
| 1407098403 | Andrea Lynne Crespo | Nurse Practitioner | 1 General St., Lawrence General Hospital, Emergency Department, Lawrence, MA 01842 | 2009-04-06 |
| Find all providers in LAWRENCE | ||||
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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.