Organization Active NPI

Lindsey R. Leeson, M.S., CCC-SLP, P.a.

  • Clinic/Center
  • Dade City, FL
National Provider Identifier
1194265710
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LINDSEY R. LEESON, M.S., CCC-SLP, P.A.
Practice address
37937 Heather PL
Dade City, FL 33525-5420
Phone
(352) 467-0088
Fax
(813) 779-1879
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Susanne Witt
Title
Admin Manager
Phone
(352) 585-7871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA11458 FL
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

37937 Heather PL
Dade City, FL 33525-5420

Mailing address

37937 Heather PL
Dade City, FL 33525-5420
Phone (352) 467-0088

Other identifiers 1

IdentifierTypeStateIssuer
114994000MedicaidFL

National Provider Directory

National Provider Directory

Locations

6719 Gall Blvd
Ste 103
Zephyrhills, FL 33542

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1194265710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37937 HEATHER PL",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255420",
            "telephone_number": "352-467-0088",
            "fax_number": "813-779-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37937 HEATHER PL",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255420",
            "telephone_number": "352-467-0088",
            "fax_number": "813-779-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY R. LEESON, M.S., CCC-SLP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "352-585-7871"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11458",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114994000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.