Leeann Rae Kyriakides, M.S. CCC SLP, COM

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7514 Issued in MN

Practice address

7231 Forestview LN N
Maple Grove, MN 55369-5536

Phone

(763) 315-6166

Fax

(763) 315-8894

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Family Speech & Therapy Services, LLC

  • Speech-Language Pathologist
  • Andover, MN
  • NPI 1235285966
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1285681247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 FORESTVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695501",
            "telephone_number": "763-315-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 FORESTVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695536",
            "telephone_number": "763-315-6166",
            "fax_number": "763-315-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKIDES",
        "first_name": "LEEANN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC SLP, COM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Joy Kunz
• Allen P. Kuperman, M.D.
• Tracy Kuphal-Strand, LICSW
• Kiera Taylor Kutzke
• Alysha Kvam
• L.C. Optometric P.C.
• L&C Health Solutions LLC
• Leilani L Labelle, DDS MS
• Heather Lynn Labere, M.D.
• Brian Glenn Labine, MD

• Speech-Language Pathologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.