LESLIE ANN ARY (NPI# 1558697540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558697540 |
| Entity Type | Individual |
| Full Name | LESLIE ANN ARY |
| Credential | ACNP |
| Practice Address |
117 Kennedy Dr Martin TN 38237-3309 |
| Practice Telephone | 7315879511 |
| Practice Fax Number | 7315870785 |
| Mailing Telephone | 7315879511 |
| Mailing Fax Number | 7315870785 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
14487 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4250762 | 01 |
| TN | 1517153 | 05 |
| Street Address |
117 KENNEDY DR |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| 1780060319 | Keely Elizabeth Vaughan | Physician Assistant | 117 Kennedy Dr, Martin, TN 38237-3309 | 2015-08-05 |
| 1891908117 | Stefanie Lea Gray | Nurse Practitioner | 117 Kennedy Dr, Martin, TN 38237-3309 | 2007-05-07 |
| 1093768988 | Martin Medical Center, P.C. | Clinic/Center | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-05-19 |
| 1538135314 | Michael Trent Scates | Physician Assistant | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-02-23 |
| 1578533048 | Laboratory Corporation of America | Clinical Medical Laboratory | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-01-25 |
| 1043200280 | Walter Frizzell Fletcher | Emergency Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-10-27 |
| 1790784106 | James William Shore | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-07-18 |
| 1780683102 | Anna Kristine Hopla | Internal Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-07-18 |
| 1871592287 | Susan Shore Lowry | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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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.