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Deactivated NPI 1841735891 Deactivated / Inactive NPI Male Practitioner

Brian Leslie

Licensed Practical Nurse • Grand Rapids, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brian Leslie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2016
NPI Deactivation Date January 09, 2025
Total Practice Duration ~9 Years of Practice (2016 – 2025)

Professional Overview & Biography Verified Profile Summary

Brian Leslie was a registered Licensed Practical Nurse practicing in Grand Rapids, MI. Throughout an active medical career spanning 9 years, Brian Leslie provided care at the practice location at 2627 E BELTLINE AVE SE until profile deactivation on 2025-01-09.

Practice Location & Contact Primary Location

Practice Address

2627 E Beltline Ave Se
Suite 22o

Grand Rapids, MI 495465975

Telephone 6162855100

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Grand Rapids, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703092137

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Julie Holtsclaw , LPN

Licensed Practical Nurse

NPI 1104360619

Licensed Practical Nurse

Patricia Motton

Licensed Practical Nurse

NPI 1215473756
Stephanie Smith , RN

Registered Nurse

NPI 1265973804

Registered Nurse

Sara Burnett

Registered Nurse - Home Health

NPI 1427592393
Elaine Beauchamp , MSW

Social Worker - Clinical

NPI 1568717635

Master of Social Work

Brandi Janka , BSN RN

Personal Emergency Response Attendant

NPI 1932643897

BSNRN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 09, 2025

Record deactivated on January 09, 2025

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2016

Registered at 2627 E BELTLINE AVE SE, SUITE 22O, GRAND RAPIDS, MI 495465975 (Tel: 6162855100)

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Updated Business Mailing Address December 29, 2016

Registered at 2627 E BELTLINE AVE SE, SUITE 22O, GRAND RAPIDS, MI 495465975

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Provider Name / Credentials Updated December 29, 2016

Recorded as BRIAN LESLIE

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Licensed Practical Nurse (License #4703092137 in MI)

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Initial NPI Registration & Enumeration December 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841735891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2016
Last Update: December 29, 2016
Deactivation Date: January 09, 2025

Mailing Address

2627 E Beltline Ave Se, Suite 22o

Grand Rapids, MI 495465975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.