Active NPI
Miranda Leoni
- Speech-Language Pathologist
- North Andover, MA
National Provider Identifier
1154927275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76592
- Practice address
- 820 Turnpike St
North Andover, MA 01845-6125 - Phone
- (978) 681-6605
- NPI assigned
- Dec 6, 2020
- Last updated
- Dec 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 76592 | MA | Primary |
Addresses
Primary practice location
820 Turnpike St
North Andover, MA 01845-6125
Mailing address
163 Rumford Ave Apt 202
Mansfield, MA 02048-2171
Phone (339) 237-7122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76592 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607212800000",
"number": "1154927275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 RUMFORD AVE APT 202",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482171",
"telephone_number": "339-237-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456125",
"telephone_number": "978-681-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONI",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2020-12-06",
"certification_date": "2020-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.