Active NPI
Leah Megan Boothe, M.A., CCC-SLP
- Speech-Language Pathologist
- Easley, SC
National Provider Identifier
1144679259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6378
- Practice address
- 238 Haywood Rd
Easley, SC 29640-9683 - Phone
- (734) 664-8289
- NPI assigned
- Jun 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSLP.0000103 | CO | |
| Speech-Language Pathologist | 235Z00000X | L964049 | MI | |
| Speech-Language Pathologist | 235Z00000X | 6378 | SC | Primary |
Addresses
Primary practice location
238 Haywood Rd
Easley, SC 29640-9683
Mailing address
238 Haywood Rd
Easley, SC 29640-9683
Phone (734) 664-8289
Other practice location 1
408 E Jameson Ave
Battle Creek, MI 49014-5958
Phone (269) 964-9426 ext. 4204
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0000103 | CO | MD | Speech-Language Pathologist |
| L964049 | MI | MD | Speech-Language Pathologist |
| 6378 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1144679259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 HAYWOOD RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296409683",
"telephone_number": "734-664-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 HAYWOOD RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296409683",
"telephone_number": "734-664-8289"
}
],
"practiceLocations": [
{
"address_1": "408 E Jameson Ave",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490145958",
"country_code": "US",
"telephone_number": "269-964-9426 x4204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOOTHE",
"first_name": "LEAH",
"middle_name": "MEGAN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0000103",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "L964049",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.