Leo Fitzpatrick

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002606 Issued in NC

Practice address

613 William Vickers Ave
Durham, NC 27701-3140

Phone

(919) 923-8993

NPI assigned

Mar 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1053171660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MARTIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042929",
            "telephone_number": "919-923-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WILLIAM VICKERS AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013140",
            "telephone_number": "919-923-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "LEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Fitzgerald, PA-C
• Kathleen Louise Fitzgerald, M.ED., LPC
• Leah M. Fitzgerald, CRNA
• Patricia Fitzgerald
• Rebecca Martinez Fitzgerald
• Michael A Fitzpatrick IV, PT, DPT, MS, CSCS
• Laurin Cahill Fitzsimmons, PA
• Cristina Q. Flake, LCSW
• Harley Flake
• Brendan James Flanagan, M.D.

• Speech-Language Pathologist in Durham, NC
• Providers in Durham, 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 Mar 20, 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.

Verify at the official NPI Registry.