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

Leslie Forbush, PMHNP-DNP-FNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578172847

Leslie Forbush, PMHNP-DNP-FNP is a Nurse Practitioner in Draper, Utah. Qualified in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

14425 S Bitterbrush Ln
Draper, UT 84020-9501
Phone: (801) 576-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 N 500 W Bldg A, Provo, UT 84604-3305 — (385) 203-2710

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 334808-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 334808-4405 (UT)

Record details

NPI number1578172847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-DNP-FNP
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Draper