Rhonda Lynn Leake

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1200 Crosswinds LNDG
Fort Walton Beach, FL 32547-1174

Phone

(850) 226-8326

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Emerald Coast Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1477221414
  NPD Authorized official
• Magnolia Rehab Services

  dba Magnolia Pediatric Therapy

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1235457052
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1366084139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CROSSWINDS LNDG",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471174",
            "telephone_number": "850-226-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CROSSWINDS LNDG",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471174",
            "telephone_number": "850-226-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TBD",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "magnoliapediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info",
            "address_1": "1200 Crosswinds Lndg",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325471174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Dawn Larson, LCSW
• Kendra Lawrence, NURSE PRACTITIONER
• Laya Sleep Clinic, LLC
• Elizabeth Le, DMD
• Mary Kay Leach, ARNP
• Learning to Heal Therapy, LLC
• Matthew Aaron Leary, PT
• Laura Lynne Lebrasseur, ITDS
• Alexandria Ledford
• Lee D. Ettinger, M.D., P.a.

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.