LESLIE EVANS-HEDGE (NPI# 1497200927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497200927 |
| Entity Type | Individual |
| Full Name | LESLIE EVANS-HEDGE |
| Credential | NP-C |
| Practice Address |
48 Doctors Park Cape Girardeau MO 63703-4928 |
| Practice Telephone | 5733358257 |
| Practice Fax Number | 5733358424 |
| Mailing Telephone | 5733358257 |
| Mailing Fax Number | 5733358424 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2016030745 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
48 DOCTORS PARK |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099037 | Brian Christian Schafer | Orthopaedic Surgery | 48 Doctors Park, Orthopaedic Associated of Southeast Missouri PC, Cape Girardeau, MO 63703-4928 | 2005-08-10 |
| 1073144457 | Heather Jean Williams | Nurse Practitioner | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2020-02-04 |
| 1861041311 | Gabrielle Rebecca Sierman | Nurse Practitioner | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2019-09-07 |
| 1831655661 | Gregory Leet | Orthopaedic Surgery | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2019-02-18 |
| 1407372113 | Tricia Renea Johnston | Nurse Practitioner | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2017-08-15 |
| 1538691845 | Linda Lou Soder | Nurse Practitioner | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2017-03-28 |
| 1275881997 | Christopher Ryan Kline | Technician, Other | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2012-08-28 |
| 1275829723 | Khalid Waliullah | Orthopaedic Surgery | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-06-23 |
| 1811156219 | Andrew Cooper Trueblood | Orthopaedic Surgery | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2008-06-02 |
| 1346439908 | Takuro Yamada | Specialist/Technologist | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538691845 | Linda Lou Soder | Nurse Practitioner | 48 Doctors Park, Cape Girardeau, MO 63703-4928 | 2017-03-28 |
| 1669832556 | Kimberly Hagedorn | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.