Active NPI
Leigh Anne Bertelsen
- Speech-Language Pathologist
- Monterey, LA
National Provider Identifier
1396484986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7694
- Practice address
- 5920 La-129
Monterey, LA 71354 - Phone
- (318) 386-2214
- NPI assigned
- Jun 1, 2022
- Last updated
- Jun 1, 2022
- 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 | 7694 | LA | Primary |
Addresses
Primary practice location
5920 La-129
Monterey, LA 71354
Mailing address
45 Tara Rd
Natchez, MS 39120-4064
Phone (662) 231-4015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbertelsen@cpsbla.us | Direct |
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 |
|---|---|---|---|
| 7694 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1396484986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TARA RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204064",
"telephone_number": "662-231-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 LA-129",
"city": "MONTEREY",
"state": "LA",
"postal_code": "71354",
"telephone_number": "318-386-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTELSEN",
"first_name": "LEIGH",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "7694",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbertelsen@cpsbla.us",
"affiliation": "N",
"endpointDescription": "School EMail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "School Email",
"address_1": "5920 LA-129",
"city": "Monterey",
"state": "LA",
"country_code": "US",
"postal_code": "71354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Monterey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.