Active NPI
Leslie Danielle Stubbs
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1477011674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 7658 Morning Lake Dr
Las Vegas, NV 89131-3685 - Phone
- (702) 275-4130
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
7658 Morning Lake Dr
Las Vegas, NV 89131-3685
Mailing address
7658 Morning Lake Dr
Las Vegas, NV 89131-3685
Phone (702) 275-4130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01072191 | Other | ASHA | |
| SP-1002 | Other | NV | NV SPEECH AND HEARING |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1477011674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7658 MORNING LAKE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313685",
"telephone_number": "702-275-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7658 MORNING LAKE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313685",
"telephone_number": "702-275-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "LESLIE",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "01072191",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV SPEECH AND HEARING",
"identifier": "SP-1002",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.