Active NPI
Jalisha Ciera Legette, M.S. CCC-SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1275147282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14213
- Practice address
- 5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690 - Phone
- (704) 752-1616
- NPI assigned
- Sep 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14213 | NC | Primary |
Addresses
Primary practice location
5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690
Mailing address
10529 Plantain CT
Charlotte, NC 28213-4832
Phone (704) 891-5147
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14213 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen City Therapy, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5113 Piper Station Dr
Ste 103
Charlotte, NC 28277
Phone (704) 752-1616
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.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1154813681
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1275147282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10529 PLANTAIN CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134832",
"telephone_number": "704-891-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5113 PIPER STATION DR STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776690",
"telephone_number": "704-752-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGETTE",
"first_name": "JALISHA",
"middle_name": "CIERA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.