Leslie Samuelita Parker, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8702 Issued in NC

Practice address

140 Carriage Club Dr
Mooresville, NC 28117-9284

Phone

(704) 658-1200

Fax

(704) 662-8509

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Samuelita Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1023398187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CARRIAGE CLUB DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179284",
            "telephone_number": "704-658-1200",
            "fax_number": "704-662-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LESLIE",
        "middle_name": "SAMUELITA",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "CLARK",
            "middle_name": "SAMUELITA",
            "credential": "MS CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Pappalardo
• Mordan Alexandra Pappas
• Paragon Hospice Management, LP
• Jane Park, CCC-SLP
• Janice Parker, LCSW
• Penney Elaine Parker, FNP-C
• Mary Alice Parlier Lowrance, OTR/L
• Meredith Elizabeth Parnell, MS OTR/L
• Mary Virginia Parsons, PHARMD
• Partnership for a Drug Free NC Inc

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.