Active NPI
Leeanna Lancaster
- Speech-Language Pathologist
- Liberty, NC
National Provider Identifier
1306359823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12515
- Practice address
- 564 Ridge Ave
Liberty, NC 27298-3604 - Phone
- (336) 703-8872
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12515 | NC | Primary |
Addresses
Primary practice location
564 Ridge Ave
Liberty, NC 27298-3604
Mailing address
564 Ridge Ave
Liberty, NC 27298-3604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12515 | Other | NC | SPEECH LANGUAGE PATHOLOGY |
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 |
|---|---|---|---|
| 12515 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Speech Therapy | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Liberty, NC
- NPI 1912384876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1306359823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 RIDGE AVE",
"city": "LIBERTY",
"state": "NC",
"postal_code": "272983604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 RIDGE AVE",
"city": "LIBERTY",
"state": "NC",
"postal_code": "272983604",
"telephone_number": "336-703-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "LEEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY",
"identifier": "12515",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, NC
- Karam Family Practice
- Karam Medical Center
- Philip J. Karam, M.D.
- Kopper Top Life Learning Center, Inc.
- Lynn Elizabeth Lam, FNP-BC
- Liberty Family Pharmacy Inc
- Sheri Dedeen Lineberry, FNP-BC
- Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
- Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
- Monica Marsh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.