Individual provider Active NPI

Leah Marie-Cox Seifert, SLP

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1174675805
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6159 Issued in MN
Practice address
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone
(952) 999-0333
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6159 MN Primary

Addresses

Primary practice location

6452 City West Pkwy
Eden Prairie, MN 55344-3245

Mailing address

6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone (952) 999-0333

Other names 1

  • Leah Marie Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701002227 MN Practitioner - Qualified Speech Language Pathologist 0648714782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6159MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Kingdom Pediatrics LLC CurrentSince Apr 18, 2024 Accepting new patients

Locations

10904 57th St NE
Ste 106
Albertville, MN 55301
Phone (763) 497-0733

510 22nd Ave E
Ste 103
Alexandria, MN 56308
Phone (952) 999-0333

10904 Baltimore St NE
Blaine, MN 55449

150 E Travelers Trl
Ste D
Burnsville, MN 55337
Phone (952) 894-1400

6452 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 999-0333

38500 Tanger Dr
Ste 108
North Branch, MN 55056

38500 Tanger Dr
North Branch, MN 55056

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1174675805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443245",
            "telephone_number": "952-999-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443245",
            "telephone_number": "952-999-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFERT",
        "first_name": "LEAH",
        "middle_name": "MARIE-COX",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "COX",
            "middle_name": "MARIE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.