Leslie Cindy Derat, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0000001545 Issued in TN

Practice address

5625 Poplar Ave
Memphis, TN 38119-3815

Phone

(901) 761-0147

NPI assigned

Dec 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Providence Speech and Hearing Center

  • Speech-Language Assistant
  • Orange, CA
  • NPI 1871846485
  NPD (past)
• Providence Speech and Hearing Center

  • Speech-Language Assistant
  • Orange, CA
  • NPI 1891112512
  NPD (past)

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1407185739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 SETON PL",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381394243",
            "telephone_number": "901-433-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193815",
            "telephone_number": "901-761-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAT",
        "first_name": "LESLIE",
        "middle_name": "CINDY",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001545",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "0000001545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Care LLC
• Dependable Caregivers
• Claire C Depriest, LCSW
• Jill Budynas Depriest, LPC-MHSP
• Dept of Veterans Affairs Medical Center
• Armo Derbarsegian, MD
• Christopher Charles Derenzo, M.D.
• Dermatology Group PC
• Valerie Fults Dermon, DPH
• Megan Ann Derrer, MD

• Audiologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.