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Leslie Gynetta Gillis , LPN

Licensed Practical Nurse β€’ Puyallup, WA

Active NPI 1265848618 Individual Practitioner Female Practitioner
Practice location in NPPES

325 E Pioneer
Puyallup, WA 983723265

Call 2536978400 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.

Practice Location & Contact Primary Location

Practice Address

325 E Pioneer

Puyallup, WA 983723265

Telephone 2536978400
Organization at the Same NPPES Address or Phone
Multicare Health Systems Facility NPI 1548565393

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

NPI first issued

2014

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Puyallup and Washington

23 active clinicians are listed under Licensed Practical Nurse with a practice address in Puyallup, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Puyallup

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA LP00057512

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.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Roza Bockelman , LICSW, CDP

Social Worker - Clinical

NPI 1013074954

Licensed Independent Clinical Social Worker, CDP

Amber Rolfe

Counselor - Mental Health

NPI 1053745174
Dr. Junko Yasuda-Free , DO

Psychiatry & Neurology - Psychiatry

NPI 1033401161

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 25, 2017

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: (253) 697-8400)

πŸ“
Updated Business Mailing Address May 25, 2017

Registered at 325 E PIONEER AVE, PUYALLUP, WA 98372 (Tel: (253) 697-8400)

πŸ‘€
Provider Name / Credentials Updated May 25, 2017

Recorded as LESLIE GILLIS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Licensed Practical Nurse (license number reported to NPPES: WA LP00057512)

βœ…
NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 07, 2014

Registered at 9330 59TH AVE SW, LAKEWOOD, WA 984992858 (Tel: 2536205015)

πŸ“
Business Mailing Address (Initial Record) July 07, 2014

Registered at 9330 59TH AVE SW, LAKEWOOD, WA 984992858 (Tel: 2536205015)

πŸ‘€
Provider Name / Credentials (Initial Record) July 07, 2014

Recorded as LESLIE GILLIS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Licensed Practical Nurse (license number reported to NPPES: WA LP00057512)

🟒
Initial NPI Registration & Enumeration July 07, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265848618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2014
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

325 E Pioneer Ave

Puyallup, WA 98372

Phone: 2536978400

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.