Active NPI
Leigh Anne Kurtz, SLP-CCC
- Speech-Language Pathologist
- Concord, NC
National Provider Identifier
1215163092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3791
- Practice address
- 2297 Fairport Dr SE
Concord, NC 28025-8705 - Phone
- (704) 793-6928
- Fax
- (704) 786-2723
- NPI assigned
- Jun 6, 2009
- 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 | 3791 | NC | Primary |
Addresses
Primary practice location
2297 Fairport Dr SE
Concord, NC 28025-8705
Mailing address
PO Box 985
Mt Pleasant, NC 28124-0985
Phone (704) 793-6928
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3791 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1215163092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 985",
"city": "MT PLEASANT",
"state": "NC",
"postal_code": "281240985",
"telephone_number": "704-793-6928",
"fax_number": "704-786-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2297 FAIRPORT DR SE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280258705",
"telephone_number": "704-793-6928",
"fax_number": "704-786-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "LEIGH",
"middle_name": "ANNE",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-06",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "3791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.