Individual provider Active NPI

Aiesha Dawnn Leath

  • Speech-Language Pathologist
  • Hillsborough, NC
National Provider Identifier
1275118341
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8330 Issued in NC
Practice address
2415 Sunnyfield CT
Hillsborough, NC 27278-9380
Phone
(919) 240-5437
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 8330 NC Primary

Addresses

Primary practice location

2415 Sunnyfield CT
Hillsborough, NC 27278-9380

Mailing address

206 Ball Park Ave
Elon, NC 27244-9209
Phone (336) 512-0776

Other identifiers 1

IdentifierTypeStateIssuer
7413059MedicaidNC

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
8330NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Small World Therapy P.a. Single Specialty PastSince Mar 16, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1275118341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BALL PARK AVE",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449209",
            "telephone_number": "336-512-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SUNNYFIELD CT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789380",
            "telephone_number": "919-240-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATH",
        "first_name": "AIESHA",
        "middle_name": "DAWNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413059",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.