Active NPI
Ariel Amanda Leyva, M.S.
- Speech-Language Pathologist
- Lake Worth, FL
National Provider Identifier
1184083859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14626
- Practice address
- 4445 Pine Forest Dr
Lake Worth, FL 33463-4676 - Phone
- (561) 965-5954
- NPI assigned
- Feb 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07702 | MD | |
| Speech-Language Pathologist | 235Z00000X | SA14626 | FL | Primary |
Addresses
Primary practice location
4445 Pine Forest Dr
Lake Worth, FL 33463-4676
Mailing address
1207 Kenwood Ave
Winter Park, FL 32789-2420
Phone (305) 801-1635
Other practice location 1
313 Hospital Drive
Glen Burnie, MD 21061
Phone (410) 761-1222
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07702 | MD | MD | Clinical Social Worker |
| SA14626 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184083859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 KENWOOD AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892420",
"telephone_number": "305-801-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 PINE FOREST DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334634676",
"telephone_number": "561-965-5954"
}
],
"practiceLocations": [
{
"address_1": "313 Hospital Drive",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "21061",
"country_code": "US",
"telephone_number": "410-761-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEYVA",
"first_name": "ARIEL",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07702",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.