Individual provider Active NPI

Sharon Leffingwell, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Collierville, TN
National Provider Identifier
1003090598
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000001505 Issued in TN
Practice address
1328 Wolf Ridge Dr
Collierville, TN 38017-6813
Phone
(901) 861-6517
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0000001505 TN Primary

Addresses

Primary practice location

1328 Wolf Ridge Dr
Collierville, TN 38017-6813

Mailing address

1328 Wolf Ridge Dr
Collierville, TN 38017-6813
Phone (901) 861-6517

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0000001505TNMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1003090598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 WOLF RIDGE DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176813",
            "telephone_number": "901-861-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 WOLF RIDGE DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176813",
            "telephone_number": "901-861-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFINGWELL",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000001505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.