Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leslie Etheridge, FNP

Individual provider Family Nurse Practitioner · NPI 1417377094

Leslie Etheridge, FNP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2013, 13 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
13
Licensed in
KS, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5330 Nw 64th St, Kansas City, MO 64151-2414 — (816) 691-3065

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2013033429 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 77104 (KS)

Record details

NPI number1417377094
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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