Leslie Lynette Childs, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104796 Issued in TX

Practice address

3206 Longmire Dr Ste A23
College Station, TX 77845-5858

Phone

(859) 321-0932

NPI assigned

Mar 21, 2007

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

Other names 1

• Leslie Lynette Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rise Speech Therapy, PLLC

  • Speech-Language Pathologist
  • College Station, TX
  • NPI 1548026537
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1174649271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 OLD MAY CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453883",
            "telephone_number": "859-321-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A23",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "859-321-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "LESLIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2397",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SMITH",
            "middle_name": "LYNETTE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Govern Chen, M.D.
• Clint CHI Cheng, MD
• Prathyusha Chennupati, MD
• Holly Cheshire
• James Neumann Childs, M.D.
• Maria Veitschegger Childs, M.D.
• Pavan K Chiluvoju, DDS
• Jaiden M Chism
• Maryann Miyun Choi I, M.D.
• Rakin H Choudhury, MD

• All providers in College Station, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.