Advantage Speech Therapy Incorporated

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ADVANTAGE SPEECH THERAPY INCORPORATED

Practice address

17835 179TH TRL W
Lakeville, MN 55044-5207

Phone

(952) 435-1999

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kailey Jo Leach, MS, CCC-SLPNPI 1902546526

Title

Speech Language Pathologist

Phone

(952) 215-2530

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kailey Jo Leach, MS, CCC-SLP

  • Speech-Language Pathologist
  • Lakeville, MN
  • NPI 1902546526
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1245983667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 179TH TRL W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445207",
            "telephone_number": "952-215-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17835 179TH TRL W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445207",
            "telephone_number": "952-435-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Welcome Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293157",
            "country_code": "US",
            "telephone_number": "952-215-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANTAGE SPEECH THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "KAILEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "952-215-2530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.