Individual provider Active NPI

Jennifer Lekocevic, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1104288000
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11810 Issued in NC
Practice address
121 Amberleigh Dr Apt 301
Wilmington, NC 28411-9847
Phone
(516) 302-7949
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11810 NC Primary

Addresses

Primary practice location

121 Amberleigh Dr Apt 301
Wilmington, NC 28411-9847

Mailing address

5919 Oleander Dr
Wilmington, NC 28403-4780
Phone (516) 302-7949

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 Science

State licenses

LicenseStateTypeSpecialty
11810NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1104288000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "516-302-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AMBERLEIGH DR APT 301",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119847",
            "telephone_number": "516-302-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKOCEVIC",
        "first_name": "JENNIFER",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.