Active NPI
Leslie Powers, SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1457903767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 110193
- Practice address
- 4405 River Oaks Blvd
Fort Worth, TX 76114-2326 - Phone
- (817) 624-1770
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 16, 2019
- 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 | 110193 | TX | Primary |
Addresses
Primary practice location
4405 River Oaks Blvd
Fort Worth, TX 76114-2326
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1860
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110193 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1457903767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1860",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 RIVER OAKS BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761142326",
"telephone_number": "817-624-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "LESLIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Mallory Powell, DPT
- Sabrina Renee Powell, LCSW
- Savannah Powell
- Sheree Powell, PNP
- Kristene Michelle Power
- Megan Christine Powers, LAT
- Taylor Brooke Powers, MS/SLP-INTERN
- Kaylynn Kristina Poyner, DOCTOR OF OPTOMETRY
- PPG Health, PA (Longevity Bariatric and Wellness)
- PPG Special Procedures, LLC (PPG Surgical Procedures - Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.