Leslie Ann Shubat

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP15901 Issued in AZ

Practice address

410 Camp Lincoln Rd
Camp Verde, AZ 86322-7494

Phone

(928) 567-8008

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1144947185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W SIMONTON PKWY",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863224930",
            "telephone_number": "708-724-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CAMP LINCOLN RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227494",
            "telephone_number": "928-567-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20033 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274245",
            "country_code": "US",
            "telephone_number": "708-724-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUBAT",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP16965",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP15901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Sawert, P.T.
• Thomas Clarence Scherich, D.O.
• Stephen Schwartz, PT
• Tara Marie Sharp
• Shawn M Kinney DMD, PLLC.
• Robert Simbric, RPH
• Christine Rene Sossa, RN
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc.
• Stella Torshie Squire

• Speech-Language Pathologist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.