Katlin E Leboeuf, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1195 Issued in HI

Practice address

677 Ala Moana Blvd
Suite 625
Honolulu, HI 96813-5419

Phone

(808) 692-1584

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ptworks, LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1831387158
  NPD

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1093010498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 ALA ALII ST APT 38",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181887",
            "telephone_number": "808-692-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "SUITE 625",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135419",
            "telephone_number": "808-692-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOEUF",
        "first_name": "KATLIN",
        "middle_name": "E",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1195",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019907.1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Fontes Leal
• Leap of Faith Counseling LLC
• John Richard Leary III, CSAC
• Lani Leary, PH.D.
• Danielle Leblanc
• Allie Trambow Ledbetter
• John L. Lederer, M.D.
• Jerry Francis Ledesma, RN
• Matthew Ledet
• Jason Heath Ledford, LCSW

• Speech-Language Pathologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.