Individual provider Active NPI

Leyla Mariel Gomez Olmedo, SLP

  • Speech-Language Pathologist
  • Robertsdale, AL
National Provider Identifier
1417867326
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
18451 State Highway 104 Ste 105
Robertsdale, AL 36567-8752
Phone
(251) 216-9123
Fax
(251) 215-6972
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

18451 State Highway 104 Ste 105
Robertsdale, AL 36567-8752

Mailing address

7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376
Phone (251) 216-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1417867326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275376",
            "telephone_number": "251-216-9123",
            "fax_number": "251-215-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 STATE HIGHWAY 104 STE 105",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365678752",
            "telephone_number": "251-216-9123",
            "fax_number": "251-215-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ OLMEDO",
        "first_name": "LEYLA",
        "middle_name": "MARIEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.