Carmie A Leister, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005597 Issued in GA

Practice address

205 Lakemont Dr
Roswell, GA 30075-3203

Phone

(404) 547-0825

Fax

(770) 783-6618

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Bright Horizons Pediatric Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Marietta, GA
  • NPI 1447557566
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1124232210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 JOHNSON FERRY RD",
            "address_2": "SUITE 260 #325",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627604",
            "telephone_number": "404-547-0825",
            "fax_number": "770-783-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAKEMONT DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753203",
            "telephone_number": "404-547-0825",
            "fax_number": "770-783-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTER",
        "first_name": "CARMIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Lee, RN
• Christopher Ryan Leeds, MS, ATC, LAT
• Erika Michelle Leeds, PT, DPT
• Virginia Leeks, LPC
• Legacy Care Holdings LLC
• Tricia Lemelle, MD
• Stephanie Lemmey, LPC, ACS, NCC
• Allison Caitlin Leon, DMD
• Katelyn Kiki Leonard
• Kym L Leonard, DNP-BC

• Speech-Language Pathologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.