Active NPI
Leslie Reid, M.A. CCC-SLP
- Speech-Language Pathologist
- Marengo, OH
National Provider Identifier
1275933632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11734
- Practice address
- 6506 State Route 229
Marengo, OH 43334-9738 - Phone
- (740) 602-2969
- NPI assigned
- Sep 3, 2014
- Last updated
- Apr 20, 2017
- 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 Pathologist | 235Z00000X | COND.2015024-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.11734 | OH | Primary |
Addresses
Primary practice location
6506 State Route 229
Marengo, OH 43334-9738
Mailing address
890 W 4TH St
Ontario, OH 44906-2565
Phone (740) 680-2852
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.2015024-SP | OH | MD | Speech-Language Pathologist |
| SP.11734 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1275933632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062565",
"telephone_number": "740-680-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 STATE ROUTE 229",
"city": "MARENGO",
"state": "OH",
"postal_code": "433349738",
"telephone_number": "740-602-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "LESLIE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2015024-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marengo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.