Leslie Locklear (NPI# 1336469469, PAC ID# 2769678598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336469469 |
| PAC ID by PECOS | 2769678598 |
| Professional Enrollment ID | I20160427000750 |
| Full Name | Leslie Locklear |
| Organization Legal Name | CREEKSIDE FAMILY HEALTH CLINIC INC |
| Address |
320 Bawden St Apt 313 Ketchikan AK 99901-6544 |
| Phone Number | 9072209982 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385895713 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021311 | PEACEHEALTH KETCHIKAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 | 9072209982 | CREEKSIDE FAMILY HEALTH CLINIC INC |
| Organization Legal Name | CREEKSIDE FAMILY HEALTH CLINIC INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl E Richey | Emergency Medicine | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Shawna Strouth-shaw | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Donna Lee Mathews Holman | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Lorraine L Hill | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Rebecca L Stoeckler | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Suite 313, Ketchikan, AK 99901-6544 |
| Carol L Alley | Family Practice | Creekside Family Health Clinic Inc | 320 Bawden St, Ketchikan, AK 99901-6544 |
| Street Address |
320 BAWDEN ST APT 313 |
| City | KETCHIKAN |
| State | AK |
| Zip | 99901-6544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl E Richey | Emergency Medicine | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Shawna Strouth-shaw | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Donna Lee Mathews Holman | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Randolph C Davis | Chiropractic | 320 Bawden St, Suite 306, Ketchikan, AK 99901-6544 | |
| Lorraine L Hill | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Apt 313, Ketchikan, AK 99901-6544 |
| Cindy B Starr | Speech Language Pathologist | 320 Bawden St, Apt 318, Ketchikan, AK 99901-6544 | |
| Rebecca L Stoeckler | Nurse Practitioner | Creekside Family Health Clinic Inc | 320 Bawden St, Suite 313, Ketchikan, AK 99901-6544 |
| Carol L Alley | Family Practice | Creekside Family Health Clinic Inc | 320 Bawden St, Ketchikan, AK 99901-6544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
| Tammy L Earnest | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Chelsea Ria Youmans | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Marilyn Kay Holm | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Marina Judith-rowe Mcintyre | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Helen Rose Klein | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Cynthia L Wornstaff | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Find all physicians in zip 99901 | |||
| City | KETCHIKAN |
| Zip Code | 99901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KETCHIKAN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.