DR. JILL K. LESLIE (NPI# 1962560912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962560912 |
| Entity Type | Individual |
| Full Name | DR. JILL K. LESLIE |
| Credential | PHARM.D. |
| Practice Address |
1600 Albany St Beech Grove IN 46107-1541 |
| Practice Telephone | 3177827353 |
| Practice Fax Number | 3177826092 |
| Mailing Telephone | 3177827353 |
| Mailing Fax Number | 3177826092 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26019845A | IN | Pharmacy Service Providers |
| Street Address |
1600 ALBANY ST |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733824 | Mary Kathaleen Steinke | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2006-05-04 |
| 1497028112 | Abigail Nicole Emerick | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-10 |
| 1639441462 | Lauren Kathleen Liechty | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-09 |
| 1063700847 | Franci Taylor Gesell | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-07-14 |
| 1083908966 | Franciscan St. Francis Health | General Acute Care Hospital | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-06-08 |
| 1396058608 | Jack E Bonham | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2010-07-16 |
| 1184887994 | Gretchen Kathleen Fisher | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-07-02 |
| 1245406214 | St. Francis Hospital and Health Centers | Psychiatry & Neurology | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-04-30 |
| 1366624728 | Jeri Dine | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2007-11-28 |
| 1225224777 | Amanda Lee Kendall | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265989933 | Lauren Mcnace | Pharmacist | 10062 Heather Brooke Dr, Osceola, IN 46561-7803 | 2016-09-09 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1174934558 | Kristen Brock | Pharmacist | 400 N Dan Jones Rd, Plainfield, IN 46168-1802 | 2014-05-19 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| Find all providers with the same taxonomy | ||||
| City | BEECH GROVE |
| Zip Code | 46107 |
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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.