Kathy Suzanne Leake, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000317 Issued in VA

Practice address

158 Primary School Dr
Madison, VA 22727-3008

Phone

(540) 948-3781

NPI assigned

Sep 3, 2018

Last updated

Sep 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1417439894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BOXLEY LN",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601103",
            "telephone_number": "540-672-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PRIMARY SCHOOL DR",
            "city": "MADISON",
            "state": "VA",
            "postal_code": "227273008",
            "telephone_number": "540-948-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KATHY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartfelt Care of Virginia
• Danielle Helmick, COTA/L
• Brigid Mary Hundley, LPC
• Marguerite Josiah, FNP-C
• Jared Carter Kleine, D.D.S.
• Madison County Board of Supervisors (Madison County Department of Emergency Medical Services)
• Madison County Dental Clinic
• Madison County Public Schools
• Madison County Rescue Squad Inc
• Madison Family Dentistry, PLLC

• Speech-Language Pathologist in Madison, VA
• Providers in Madison, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.