Active NPI
Leah Herndon Warren
- Speech-Language Pathologist
- Cordova, TN
National Provider Identifier
1255224994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5603
- Practice address
- 146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396 - Phone
- (901) 654-5693
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 844 | TN | |
| Speech-Language Pathologist | 235Z00000X | 5603 | TN | Primary |
Addresses
Primary practice location
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Mailing address
195 Village Dr
Oakland, TN 38060-4856
Phone (931) 209-8254
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 |
|---|---|---|---|
| 844 | TN | MD | Speech-Language Assistant |
| 5603 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1255224994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 VILLAGE DR",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380604856",
"telephone_number": "931-209-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 TIMBER CREEK DR STE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184396",
"telephone_number": "901-654-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "LEAH",
"middle_name": "HERNDON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TN",
"license": "844",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "5603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.