Leslie Carter
Individual provider Active NPI Speech-Language Pathologist · Providence, RI
NPI 1285040477 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1285040477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP01227 (RI)
- Practice address
- 134 Thurbers Ave
Providence, RI 02905-4754 - Phone
- (401) 270-9991
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP01227 | RI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP01227 | RI | Yes |
Addresses
Primary practice location
134 Thurbers Ave
Providence, RI 02905-4754
Mailing address
174 Trout Brook LN
Hope, RI 02831-1413
NPI Registry JSON
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1285040477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 TROUT BROOK LN",
"city": "HOPE",
"state": "RI",
"postal_code": "028311413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 THURBERS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054754",
"telephone_number": "401-270-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP01227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Alexandra Carter
- Danielle Carter
- Dorothy Simson Carter
- Edward Breon Carter
- Joshua Carter
- Linda Carter
- Meredith Carter
- Ryan Carter
- Susan Carter
- Tavis Carter
All providers in Providence, RI · Speech-Language Pathologist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.