Individual provider Active NPI

Leslie Raye Austin-Chance, MS, CCC-SLP

  • Speech-Language Pathologist
  • Marianna, FL
National Provider Identifier
1235346313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8312 Issued in FL
Practice address
5287 Oak Dr
Marianna, FL 32446-8820
Phone
(850) 482-3959
Fax
(850) 482-3987
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA8312 FL Primary

Addresses

Primary practice location

5287 Oak Dr
Marianna, FL 32446-8820

Mailing address

5287 Oak Dr
Marianna, FL 32446-8820
Phone (850) 482-3959

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

LicenseStateTypeSpecialty
SA8312FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235346313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 OAK DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324468820",
            "telephone_number": "850-482-3959",
            "fax_number": "850-482-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5287 OAK DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324468820",
            "telephone_number": "850-482-3959",
            "fax_number": "850-482-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-CHANCE",
        "first_name": "LESLIE",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.