LESLIE RENE ELLIOTT (NPI# 1841365632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841365632 |
| Entity Type | Individual |
| Full Name | LESLIE RENE ELLIOTT |
| Credential | PA-C |
| Practice Address |
609 N Carol Malone Blvd Grayson KY 41143-1123 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6064747892 |
| Practice Fax Number | 6064740040 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA980 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
TC048 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE PTAN | P00454184 | 01 |
| KY | ANTHEM BCBS | 000000512514 | 01 |
| KY | 7100032550 | 05 | |
| KY | RAILROAD MEDICARE GROUP | DB9578 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952653800 | Leslie Larae Elliott | Dietitian, Registered | 3810 Skyline Dr, Bluff Point, NY 14478-9730 | 2012-10-02 |
| 1780967877 | Leslie Elliott | Naprapath | 12415 Silent Brook Trl N, Jacksonville, FL 32225-5129 | 2011-09-24 |
| 1730636556 | Leslie Renee Elliott | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2016-09-09 |
| 1528458346 | Leslie Elliott | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-02-01 |
| Street Address |
609 N CAROL MALONE BLVD |
| City | GRAYSON |
| State | KY |
| Zip Code | 41143-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215987227 | Marilyn J Connors | Family Medicine | 609 N Carol Malone Blvd, Grayson, KY 41143-1123 | 2006-05-11 |
| 1346296035 | Ashland Hospital Corporation | Nurse Practitioner | 609 N Carol Malone Blvd, Grayson, KY 41143-1123 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1184175564 | Ashland Hospital Corporation | Physician Assistant | 13321 St Rt 2, Grayson, KY 41143 | 2016-10-20 |
| 1467800730 | Allison Horsley | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143 | 2016-05-27 |
| 1083896328 | Little Sandy District Health Department | Public Health or Welfare | Hitchins Rd, Grayson, KY 41143 | 2007-11-28 |
| 1396943890 | Karen Riffe Buckler | Nutritionist | Courthouse Main Street, Little Sandy District Health Dept, Grayson, KY 41143 | 2007-07-05 |
| 1053533638 | Community Presence, Inc. | Counselor | 1758 East Midland Trail, Grayson, KY 41143 | 2007-05-03 |
| 1811051113 | Allen Edward Hall | Counselor | 35 Raintree Lane, Grayson, KY 41143 | 2006-12-20 |
| 1487761243 | Sanjiv Gupta | Internal Medicine | 300 State Highway 1947, Grayson, KY 41143 | 2006-08-25 |
| 1679610562 | Glenda Mcglone | Counselor | 840 Interstate Dr, Grayson, KY 41143 | 2007-01-31 |
| Find all providers in zip 41143 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175556 | Ashland Hospital Corporation | Physician Assistant | 1 Spirit Ln, Grayson, KY 41143-1575 | 2016-10-20 |
| 1184175564 | Ashland Hospital Corporation | Physician Assistant | 13321 St Rt 2, Grayson, KY 41143 | 2016-10-20 |
| 1457802829 | Ashland Hospital Corporation | Physician Assistant | 405 Hitchins Rd, Grayson, KY 41143-1423 | 2016-10-20 |
| 1629529094 | Ashland Hospital Corporation | Physician Assistant | 4863 S State Highway 1, Grayson, KY 41143-7634 | 2016-10-20 |
| 1295825172 | Summer Nicole Sutler | Physician Assistant | 105 State Highway 1947 # A, Grayson, KY 41143-6825 | 2006-10-13 |
| 1235161902 | Melba Mechelle Massie | Physician Assistant | 100 Bellefonte Dr, Grayson, KY 41143-1820 | 2006-07-06 |
| 1003439423 | Ashalnd Hospital Corporation | Physician Assistant | 100 Bellefonte Dr, Grayson, KY 41143-1820 | 2020-05-20 |
| 1891246260 | Ashland Hospital Corporation | Physician Assistant | 401 E Main St, Grayson, KY 41143-1415 | 2016-10-20 |
| 1295973147 | Ashley Lynn Whitley | Physician Assistant | 100 Bellefonte Dr, Grayson, KY 41143-1820 | 2009-01-30 |
| 1891860599 | Jodi A Conley | Physician Assistant | 100 Bellefonte Dr, Grayson, KY 41143-1820 | 2006-11-21 |
| Find all providers in GRAYSON | ||||
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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.