Individual provider Active NPI

Lea Allbaugh

  • Speech-Language Pathologist
  • Sioux City, IA
National Provider Identifier
1245009596
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120216 Issued in IA
Practice address
4300 S Lakeport St Ste 102
Sioux City, IA 51106-9533
Phone
(605) 210-5023
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
120216IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Childworks Therapy Clinic, PLLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 120216 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

4300 S Lakeport St Ste 102
Sioux City, IA 51106-9533

Mailing address

PO Box 142
Quimby, IA 51049-0142
Phone (712) 261-3010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2023.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1245009596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "QUIMBY",
            "state": "IA",
            "postal_code": "510490142",
            "telephone_number": "712-261-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LAKEPORT ST STE 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069533",
            "telephone_number": "605-210-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLBAUGH",
        "first_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "120216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.