Individual provider Active NPI

Leaha Elrod

  • Speech-Language Pathologist
  • Chula Vista, CA
National Provider Identifier
1477090447
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14102 Issued in CA
Practice address
2985 Stevenson Ranch CT
Chula Vista, CA 91914
Phone
(619) 987-9808
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 14102 CA Primary

Addresses

Primary practice location

2985 Stevenson Ranch CT
Chula Vista, CA 91914

Mailing address

2985 Stevenson Ranch CT
Chula Vista, CA 91914-5323
Phone (619) 987-9808

Other practice location 1

1921 Corte Belize
Chula Vista, CA 91914-4617
Phone (619) 987-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403002431 CA Practitioner - Qualified Speech Language Pathologist 5193153468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14102CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Step Therapy Inc. CurrentSince Feb 11, 2020 Accepting new patients

Locations

865 Anchorage Pl
Chula Vista, CA 91914
Phone (619) 271-4957

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1477090447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 STEVENSON RANCH CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919145323",
            "telephone_number": "619-987-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 STEVENSON RANCH CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-987-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Corte Belize",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144617",
            "country_code": "US",
            "telephone_number": "619-987-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELROD",
        "first_name": "LEAHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.