Active NPI
Andrea Lynn Leftwich
- Speech-Language Pathologist
- Bismarck, ND
National Provider Identifier
1205081833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1027
- Practice address
- 3400 Nebraska Dr
Bismarck, ND 58503-1649 - Phone
- (701) 223-3040
- Fax
- (701) 223-3053
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1027 | ND | Primary |
Addresses
Primary practice location
3400 Nebraska Dr
Bismarck, ND 58503-1649
Mailing address
200 Lewis Ave S Ste 210
Watertown, MN 55388-4547
Phone (952) 955-2242
Other practice location 1
3003 32nd Ave S
Fargo, ND 58103-6163
Phone (701) 232-2340
Other practice location 2
3003 32nd Ave S
Fargo, ND 58103-6163
Phone (701) 232-2340
Other names 1
- Andrea Lynn Horter
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Medical, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1205081833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LEWIS AVE S STE 210",
"city": "WATERTOWN",
"state": "MN",
"postal_code": "553884547",
"telephone_number": "952-955-2242",
"fax_number": "952-955-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NEBRASKA DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031649",
"telephone_number": "701-223-3040",
"fax_number": "701-223-3053"
}
],
"practiceLocations": [
{
"address_1": "3003 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036163",
"country_code": "US",
"telephone_number": "701-232-2340",
"fax_number": "701-232-2330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036163",
"country_code": "US",
"telephone_number": "701-232-2340",
"fax_number": "701-232-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEFTWICH",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "HORTER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.