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Leslie Pottebaum

Physician β€’ Arvada, CO

Deactivated NPI 1134642952 Deactivated in NPPES Female Practitioner
Practice location in NPPES

16155 W 74th Dr
Arvada, CO 800077828

Phone: (303) 912-1111

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 28, 2025; the reason is not published. The records below are historical. They do not show whether Leslie Pottebaum currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 24, 2017
NPI Deactivation Date February 28, 2025
NPI Active Period 2017 – 2025

Practice Location & Contact Primary Location

Practice Address

16155 W 74th Dr

Arvada, CO 800077828

Organization at the Same NPPES Address or Phone
Cy-Less Ranch Facility NPI 1285949362

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Arvada and Colorado

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 28, 2025

NPPES lists this NPI as deactivated as of February 28, 2025; the reason is not published.

βœ…
NPI Profile Active July 24, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 24, 2017

Registered at 16155 W 74TH DR, ARVADA, CO 800077828 (Tel: (303) 912-1111)

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Business Mailing Address (Initial Record) July 24, 2017

Registered at 16155 W 74TH DR, ARVADA, CO 800077828 (Tel: 3039121111)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2017

Recorded as LESLIE POTTEBAUM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2017

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟒
Initial NPI Registration & Enumeration July 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134642952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2017
Last Update: July 24, 2017
Deactivation Date: February 28, 2025

Mailing Address

16155 W 74th Dr

Arvada, CO 800077828

Phone: 3039121111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.