Individual provider Active NPI

Leah Megan Boothe, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Easley, SC
National Provider Identifier
1144679259
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6378 Issued in SC
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

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSLP.0000103COMDSpeech-Language Pathologist
L964049MIMDSpeech-Language Pathologist
6378SCMDSpeech-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.

Verify at the official NPI Registry.