Taylor Nicole-Mindy Leupold

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001187 Issued in NC

Practice address

129 N Tradd St
Statesville, NC 28677-5239

Phone

(704) 380-0799

Fax

(704) 278-0146

NPI assigned

Jul 12, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Carolina Speech Therapy Inc

  • Speech-Language Pathologist
  • Cleveland, NC
  • NPI 1285753939
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1356020929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775239",
            "telephone_number": "704-380-0799",
            "fax_number": "704-278-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775239",
            "telephone_number": "704-380-0799",
            "fax_number": "704-278-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUPOLD",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE-MINDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Ashley Leggett
• Jeanie Frye Lentz, M.S., CCC-SLP
• Nichole Campbell Lentz, LCMHCA
• Paul Anthony Leonard, PA
• Timothy Adam Leone, DO
• Susan A Levesque, DIETITIAN
• Megan Stanley Lewis, FNP
• Petrinial Jozette Lewis, CCC-SLP
• Frank John Lichtenberger, MD, PHD
• Life Enhancement Medical Services PLLC

• Speech-Language Pathologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.