Individual provider Active NPI

Leslie A Purcell, CCC-A

  • Audiologist
  • University Park, PA
National Provider Identifier
1477656759
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005942 Issued in PA
Practice address
110 Ford BLDG
Suite 6
University Park, PA 16802-3000
Phone
(814) 466-6396
Fax
(814) 466-6056
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005942 PA Primary

Addresses

Primary practice location

110 Ford BLDG
Suite 6
University Park, PA 16802-3000

Mailing address

110 Ford BLDG
Suite 6
University Park, PA 16802-3000
Phone (814) 466-6396

Other names 1

  • Leslie A Riddle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000632 PA Practitioner - Qualified Audiologist 9032180625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

743 A Hastings Rd
University Park, PA 16802-4529
Phone (814) 865-5414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Pennsylvania State University CurrentSince Jul 11, 2016 Accepting new patients
The Pennsylvania State University Current Accepting new patients
Oral Surgery Associates of Central Pennsylvania, PC Past Accepting new patients
Keystone Hearing Solutions, LLC Audiologist Past Accepting new patients

Organizations & group practices 4

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1477656759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FORD BLDG",
            "address_2": "SUITE 6",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023000",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FORD BLDG",
            "address_2": "SUITE 6",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023000",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "RIDDLE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.