Active NPI
Kathryn Leaman
- Speech-Language Pathologist
- Mount Airy, MD
National Provider Identifier
1285240713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09918
- Practice address
- 1106 Leafy Hollow Cir
Mount Airy, MD 21771-2804 - Phone
- (240) 236-2300
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | |||
| Speech-Language Pathologist | 235Z00000X | 09918 | MD | Primary |
Addresses
Primary practice location
1106 Leafy Hollow Cir
Mount Airy, MD 21771-2804
Mailing address
7230 Woodville Rd Apt a
Mount Airy, MD 21771-7930
Phone (207) 841-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541628100 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09918 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1285240713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 WOODVILLE RD APT A",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717930",
"telephone_number": "207-841-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 LEAFY HOLLOW CIR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217712804",
"telephone_number": "240-236-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAMAN",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541628100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.