MRS. LESLIE MICHELE PHILLIPS (NPI# 1851896260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851896260 |
Entity Type | Individual |
Full Name | MRS. LESLIE MICHELE PHILLIPS |
Other Name | LESLIE MICHELE DEFORD |
Credential | NP |
Practice Address |
2705 N Lebanon St Ste 300 Lebanon IN 46052 |
Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
Practice Telephone | 7654858649 |
Practice Fax Number | 7654858650 |
Mailing Telephone | 7654858852 |
Enumeration Date | 2018-03-27 |
Last Update Date | 2018-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007944A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300013177 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215270806 | Leslie Erin Phillips | Speech-Language Pathologist | 7425 Tammy Dr, Indianapolis, IN 46227-5538 | 2013-04-01 |
1154663698 | Leslie M Phillips | Pharmacist | 1100 Shirley St, Columbia, SC 29205-1370 | 2013-03-22 |
1881826097 | Leslie Snow Phillips | Dentist | 2694 Navajo Rd, Suite 100, El Cajon, CA 92020-2150 | 2009-08-20 |
1366525958 | Leslie Lalane Phillips | Counselor | 1132 Lower Dry Creek Rd, Laceys Spring, AL 35754-3720 | 2006-10-24 |
1225091879 | Leslie Marie Phillips | Registered Nurse | 10017 Stoneleigh Dr, Fort Worth, TX 76126 | 2006-04-06 |
1205812542 | Leslie R. Phillips | Psychologist | 120 William Penn Plaza, Durham, NC 27704-2150 | 2005-12-19 |
1164054771 | Leslie Nicole Phillips | Behavior Technician | 1405 Weatherly Plz Se Ste E, Huntsville, AL 35803-2663 | 2020-02-11 |
1417500182 | Leslie Phillips | Counselor | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2019-07-22 |
1629502646 | Leslie Phillips | Physical Therapist | 1825 Tibbetts Wick Rd, Girard, OH 44420-1222 | 2017-04-17 |
1659733756 | Leslie Nicole Phillips | Behavioral Analyst | 10777 Westheimer Rd Ste 1100, Houston, TX 77042-3462 | 2016-03-28 |
Street Address |
2705 N LEBANON ST STE 300 |
City | LEBANON |
State | IN |
Zip Code | 46052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215923941 | James Anthony Boudreau | Family Medicine | 2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 | 2005-09-27 |
1902284342 | Christopher S Green | Internal Medicine | 2705 N Lebanon St Ste 300, Lebanon, IN 46052 | 2015-05-18 |
1003136011 | Emma Joy Nordstrom | Family Medicine | 2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 | 2010-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
Find all providers in zip 46052 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
Find all providers in LEBANON |
Please comment or provide details below to improve the information on MRS. LESLIE MICHELE PHILLIPS.
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.