MRS. LESLIE ELAINE CARTER (NPI# 1619499829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619499829 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE ELAINE CARTER |
| Credential | FNP |
| Practice Address |
1130 S Veterans Pkwy Bloomington IL 61704-7117 |
| Practice Telephone | 3096611839 |
| Mailing Telephone | 3096611839 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016394 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016394 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Franklin Ave Ste 380, Normal, IL 617614266 | (309) 454-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235228099 | Leslie Elizabeth Carter | Psychologist | 9600 Sw Oak St, Ste 325, Tigard, OR 97223-6588 | 2006-10-12 |
| 1730168014 | Leslie Ann Carter | Dermatology | 325 Sw Upper Terrace Dr, Suite 100, Bend, OR 97702-1900 | 2006-01-13 |
| 1255312914 | Leslie Ann Carter | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2005-11-09 |
| 1386126225 | Leslie Kathryn Carter | Occupational Therapist | 2220 Edward Holland Dr, Richmond, VA 23230-2519 | 2018-09-06 |
| 1356879332 | Leslie Renee Carter | Behavior Technician | 10174 Old Grove Rd, San Diego, CA 92131-1652 | 2017-06-02 |
| 1861841025 | Leslie Carter | Social Worker | 915 Rhode Island Ave Nw, Washington, DC 20001-4153 | 2016-06-08 |
| 1740683341 | Leslie Carter | Speech-Language Pathologist | 95 Madison Ave, Bergenfield, NJ 07621-2439 | 2014-09-27 |
| 1285040477 | Leslie Carter | Speech-Language Pathologist | 134 Thurbers Ave, Providence, RI 02905-4754 | 2014-07-08 |
| 1336462605 | Leslie Fort Carter | Developmental Therapist | 7829 Percussion Dr, Apex, NC 27539-3611 | 2010-03-01 |
| Street Address |
1130 S VETERANS PKWY |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-7117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316178064 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1130 S Veterans Pkwy, Bloomington, IL 61704 | 2009-07-29 |
| 1457989824 | Megan Wendelschafer | Pharmacist | 1130 S Veterans Pkwy, Bloomington, IL 61704-7117 | 2020-03-31 |
| 1285930503 | Barbara Ann Becker | Nurse Practitioner | 1130 S Veterans Pkwy, Bloomington, IL 61704-7117 | 2011-02-03 |
| 1194054692 | Jillian M. Mchood | Nurse Practitioner | 1130 S Veterans Pkwy, Bloomington, IL 61704 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1962634154 | Mark Stock | Nurse Practitioner | 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 | 2009-08-20 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MRS. LESLIE ELAINE CARTER.
| 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.