Active NPI
Leigh Anne Krueger
- Speech-Language Pathologist
- Folsom, CA
National Provider Identifier
1003450339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP15043
- Practice address
- 101 E Natoma St
Folsom, CA 95630-3383 - Phone
- (916) 353-5295
- Fax
- (916) 983-5906
- NPI assigned
- Oct 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP15043 | CA | Primary |
Addresses
Primary practice location
101 E Natoma St
Folsom, CA 95630-3383
Mailing address
1301 E Bidwell St Ste 201
Folsom, CA 95630-3565
Phone (916) 983-5915
Other names 1
- Leigh Anne Borg
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.burgerrehab.com | Other |
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 |
|---|---|---|---|
| SLP15043 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1003450339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E BIDWELL ST STE 201",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303565",
"telephone_number": "916-983-5915",
"fax_number": "916-983-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E NATOMA ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303383",
"telephone_number": "916-353-5295",
"fax_number": "916-983-5906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "LEIGH ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SLP15043",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.burgerrehab.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "general website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "general website",
"address_1": "101 E Natoma St",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LEIGH ANNE",
"last_name": "BORG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.