1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LESLIE GRADY P.A.
NPI 1114902640
Physician Assistant - Medical in Boulder, CO

Active since December 07, 2005
2750 BROADWAY ST, BOULDER, CO 80304(303) 440-3000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leslie Grady P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE GRADY P.A. (NPI 1114902640) is an individual medical provider in Boulder, Colorado, licensed in Colorado (225) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1114902640
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLESLIE GRADYCredential: P.A.
Location Address2750 BROADWAY STBoulder, CO 80304-3573
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3000
Phone(303) 440-3000
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1114902640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 225
2750 BROADWAY ST, Boulder, CO 80304
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REFORM HEALTH & REHAB, LLC
Physical Therapist
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3034
MARILYN NEWSOM M.D.
Psychiatry & Neurology (Neurology)
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3000
JILL SIEGFRIED M.D.
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3000
MRS. KAREN BANT-KREUTZER ANP-C
Nurse Practitioner (Adult Health)
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3000
ALEXANDRA MARIE PARSHALL AU.D.
Audiologist-Hearing Aid Fitter
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3073
KARIN SUSSKIND M.D.
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3000
DR. EMILY K WARD M.D.
Internal Medicine (Gastroenterology)
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3216
JENNIFER B GRODBERG MD
Internal Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 440-3082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Grady's NPI number?

The NPI number for Leslie Grady is 1114902640. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Leslie Grady located?

Leslie Grady practices at 2750 Broadway St, Boulder, CO 80304. The listed phone number is (303) 440-3000.

What is Leslie Grady's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Leslie Grady was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.