Active NPI
Kara Leach, MA
- Speech-Language Pathologist
- Wake Forest, NC
National Provider Identifier
1013949262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15173
- Practice address
- 335 S White St Ste a
Wake Forest, NC 27587-2916 - Phone
- (425) 943-1552
- Fax
- (919) 882-9432
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2826 | ID | |
| Speech-Language Pathologist | 235Z00000X | 15173 | NC | Primary |
Addresses
Primary practice location
335 S White St Ste a
Wake Forest, NC 27587-2916
Mailing address
7405 Chouder Lane
Wake Forest, NC 27587
Phone (425) 943-1552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15173 | NC | MD | Occupational Therapist |
| SLP-2826 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1013949262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7405 CHOUDER LANE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "27587",
"telephone_number": "425-943-1552",
"fax_number": "919-882-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S WHITE ST STE A",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872916",
"telephone_number": "425-943-1552",
"fax_number": "919-882-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "KARA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2024-07-19",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-2826",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.