Active NPI
Leslie Palliere, MS-CCC/SLP
- Speech-Language Pathologist
- Mooresville, NC
National Provider Identifier
1003043225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14406
- Practice address
- 134 Infield CT
Mooresville, NC 28117-8026 - Phone
- (704) 799-6824
- Fax
- (704) 799-6825
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP 008361 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP.5423 SLP | SC | |
| Speech-Language Pathologist | 235Z00000X | SLP.5423 | SC | |
| Speech-Language Pathologist | 235Z00000X | 7754734-4102 | UT | |
| Speech-Language Pathologist | 235Z00000X | 018763-1 | NY | |
| Speech-Language Pathologist | 235Z00000X | 1149660 | NY | |
| Speech-Language Pathologist | 235Z00000X | 008361 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP008361 | GA | |
| Speech-Language Pathologist | 235Z00000X | 567658 | UT | |
| Speech-Language Pathologist | 235Z00000X | 14406 | NC | Primary |
Addresses
Primary practice location
134 Infield CT
Mooresville, NC 28117-8026
Mailing address
4316 Pinewood Ter
Kernersville, NC 27284-9523
Phone (914) 525-3070
Other practice location 1
117 Hillsborough Ln
Aiken, SC 29803
Phone (914) 525-3070
Other practice location 2
4316 Pinewood Ter
Kernersville, NC 27284-9523
Phone (914) 525-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14406 | NC | MD | General Practice Dentistry |
| 018763-1 | NY | MD | Physical Therapist |
| SLP 008361 | GA | MD | Speech-Language Pathologist |
| SLP008361 | GA | MD | Speech-Language Pathologist |
| 1149660 | NY | MD | Speech-Language Pathologist |
| SLP.5423 | SC | MD | Speech-Language Pathologist |
| SLP.5423 SLP | SC | MD | Speech-Language Pathologist |
| 567658 | UT | MD | Speech-Language Pathologist |
| 7754734-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Integrative Therapy Concepts | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
-
- Occupational Therapist
- Mooresville, NC
- NPI 1164847752
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1003043225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 PINEWOOD TER",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272849523",
"telephone_number": "914-525-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 INFIELD CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178026",
"telephone_number": "704-799-6824",
"fax_number": "704-799-6825"
}
],
"practiceLocations": [
{
"address_1": "117 Hillsborough Ln",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "29803",
"country_code": "US",
"telephone_number": "914-525-3070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4316 Pinewood Ter",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272849523",
"country_code": "US",
"telephone_number": "914-525-3070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLIERE",
"first_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "MS-CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP 008361",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "SLP.5423 SLP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "SLP.5423",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "7754734-4102",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018763-1",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "1149660",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "008361",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008361",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "567658",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.