DR. LESLIE N. SULLIVAN (NPI# 1780111468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780111468 |
| Entity Type | Individual |
| Full Name | DR. LESLIE N. SULLIVAN |
| Credential | DNP, APRN, PMHNP-BC |
| Practice Address |
830 S Limestone St Lexington KY 40536 |
| Mailing Address |
830 S Limestone St Lexington KY 40536-1889 |
| Practice Telephone | 8593235511 |
| Practice Fax Number | 8592579816 |
| Mailing Telephone | 8593235511 |
| Mailing Fax Number | 8592579816 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3011711 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1094118 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100494780 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 151 N Eagle Creek Dr Ste 110, Lexington, KY 405091889 | 8592633888 | 8882359895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147353 | Leslie A Sullivan | Social Worker | 3616 S I 10 Service Rd W Ste 200, Metairie, LA 70001-1874 | 2019-10-29 |
| 1831677434 | Leslie H Sullivan | Counselor | 320 Rolling Ridge Dr, State College, PA 16801-7641 | 2018-08-06 |
| 1588082713 | Leslie Sullivan | Counselor | 19 W 34th St, Ph, New York, NY 10001-3006 | 2014-04-04 |
| 1477857068 | Leslie A Sullivan | Social Worker | 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130-3455 | 2010-12-22 |
| 1467789958 | Leslie Jane Sullivan | Nurse Practitioner | 133 Brookline Ave, Harvard Vanguard Medical Associates, Adult Telecom, Boston, MA 02215-3904 | 2009-11-04 |
| 1265458467 | Leslie A Sullivan | Surgery | 2040 Forest Ave, Suite 2, San Jose, CA 95128-4810 | 2006-07-14 |
| Street Address |
830 S LIMESTONE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062567 | Barbara Ann Calvert | Nurse Practitioner | 830 S Limestone St, Suite 419, Lexington, KY 40536-0582 | 2005-09-07 |
| 1720520109 | Sharon M Bertram | Pharmacist | 830 S Limestone St, Lexington, KY 40536-0001 | 2016-11-16 |
| 1457893414 | Erin Poteet | Pharmacist | 830 S Limestone St, Room 129, Lexington, KY 40536-0001 | 2016-11-08 |
| 1326489071 | University of Kentucky | Pharmacy | 830 S Limestone St, Room 129, Lexington, KY 40536-0001 | 2013-07-10 |
| 1467744086 | Christopher Michael Yost | Internal Medicine | 830 S Limestone St, Internal Medicine Clinic - 3rd Floor, Lexington, KY 40536-0001 | 2011-05-15 |
| 1316157068 | Samantha Ann Todd | Nurse Practitioner | 830 S Limestone St, Lexington, KY 40536-0582 | 2007-05-23 |
| 1033286232 | Jodi Cecile Durbin | Nurse Practitioner | 830 S Limestone St, Ukhc University Health Service, Lexington, KY 40536-0582 | 2006-11-30 |
| 1174568711 | Marites C. Buenafe | Family Medicine | 830 S Limestone St, Lexington, KY 40536-0001 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1831722115 | Free To Be Mental Health Services, LLC | Nurse Practitioner | 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 | 2020-02-15 |
| 1265075238 | Colleen Turner | Nurse Practitioner | 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 | 2019-10-23 |
| 1124672126 | Sheila Young Steinbrenner | Nurse Practitioner | 238 Rosemont Gdn, Lexington, KY 40503-1845 | 2019-07-29 |
| 1194207910 | Ljks | Nurse Practitioner | 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 | 2018-08-29 |
| 1881172823 | Kayla Kouns | Nurse Practitioner | 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 | 2018-08-01 |
| 1033601992 | Davika Mattox Pmhnp Recovery and Wellness Behavioral Health | Nurse Practitioner | 3208 Polo Club Blvd, Lexington, KY 40509-8454 | 2018-06-05 |
| 1265935159 | Holly Melissa Lewis | Nurse Practitioner | 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 | 2018-03-16 |
| 1225546690 | Latoya Bo'nee Lee | Nurse Practitioner | 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 | 2018-01-18 |
| Find all providers in LEXINGTON | ||||
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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.