1992752190 NPI number — MRS. LESLIE SIEBERT TERNER MS, APRN, CS-P, CRS

Table of content: MRS. LESLIE SIEBERT TERNER MS, APRN, CS-P, CRS (NPI 1992752190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992752190 NPI number — MRS. LESLIE SIEBERT TERNER MS, APRN, CS-P, CRS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TERNER
Provider First Name:
LESLIE
Provider Middle Name:
SIEBERT
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, APRN, CS-P, CRS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992752190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 HICKORY HILL CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20906-5807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-461-9427
Provider Business Mailing Address Fax Number:
301-871-0886

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 HICKORY HILL CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20906-5807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-461-9427
Provider Business Practice Location Address Fax Number:
301-871-0886
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0809X , with the licence number:  R070051 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 489331 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131502100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7490026 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: M4010001 . This is a "BLUES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11250710 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 170240000 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 708595 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com