Active NPI
Janelle Deleon
- Speech-Language Pathologist
- Winston Salem, NC
National Provider Identifier
1104087519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13295
- Practice address
- 1240 Arbor Rd
Winston Salem, NC 27104-1106 - Phone
- (336) 724-7921
- NPI assigned
- Jun 18, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 26409 | CA | |
| Speech-Language Pathologist | 235Z00000X | SA15130 | FL | |
| Speech-Language Pathologist | 235Z00000X | 2202009061 | VA | |
| Speech-Language Pathologist | 235Z00000X | SLP.0002712 | CO | |
| Speech-Language Pathologist | 235Z00000X | 6766 | SC | |
| Speech-Language Pathologist | 235Z00000X | 13295 | NC | Primary |
Addresses
Primary practice location
1240 Arbor Rd
Winston Salem, NC 27104-1106
Mailing address
4619 Lawndale Dr
Greensboro, NC 27455-2029
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13295 | NC | MD | Mechanotherapist |
| 26409 | CA | MD | Speech-Language Pathologist |
| SLP.0002712 | CO | MD | Speech-Language Pathologist |
| SA15130 | FL | MD | Speech-Language Pathologist |
| 6766 | SC | MD | Speech-Language Pathologist |
| 2202009061 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666483200000",
"number": "1104087519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 LAWNDALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 ARBOR RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041106",
"telephone_number": "336-724-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "JANELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2022-10-23",
"certification_date": "2022-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26409",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15130",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009061",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0002712",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6766",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.