Leslie Gregory

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2960 Issued in OK

Practice address

499 W Boundry
275 W. Main
Kansas, OK 74347-1662

Phone

(918) 868-2567

Fax

(918) 868-5584

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1265813695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 E 540",
            "city": "SALINA",
            "state": "OK",
            "postal_code": "743652526",
            "telephone_number": "918-521-7172",
            "fax_number": "918-868-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 W BOUNDRY",
            "address_2": "275 W. MAIN",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "743471662",
            "telephone_number": "918-868-2567",
            "fax_number": "918-868-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Kansas, OK
• Providers in Kansas, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.