Active NPI
Letia Michele Simes
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1144736273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3171
- Practice address
- 2180 Mangum Rd
Memphis, TN 38134-5810 - Phone
- (901) 377-0101
- NPI assigned
- Dec 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3171 | TN | Primary |
Addresses
Primary practice location
2180 Mangum Rd
Memphis, TN 38134-5810
Mailing address
4919 Coleman Rd
Olive Branch, MS 38654-5606
Phone (662) 280-9382
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 |
|---|---|---|---|
| 3171 | TN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1144736273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4919 COLEMAN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386545606",
"telephone_number": "662-280-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 MANGUM RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381345810",
"telephone_number": "901-377-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMES",
"first_name": "LETIA",
"middle_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.