Leah Jacobson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2070 Issued in NH

Practice address

118 Portsmouth Ave Ste 2B2
Stratham, NH 03885-2487

Phone

(603) 580-4363

Fax

(603) 580-5760

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1487220802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE STE 2B2",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852487",
            "telephone_number": "603-580-4363",
            "fax_number": "603-580-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE STE 2B2",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852487",
            "telephone_number": "603-580-4363",
            "fax_number": "603-580-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LEAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77899",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Holzworth, RPH
• Anna Christina Hopkins, M.S.P.T.
• Rebecca Thompson Houlihan
• Robert Jason Howe, DO
• Kaleigh Hyland, MSW
• Valerie A. Jacques, RN, CPM, NHCM
• JL Arlen Enterprises Inc (Project Walk Boston)
• Daniel Ward Johnson, FNP-BC
• Emily A. Johnson, RD, LD, DE
• Kristen Calcagni Johnson, MD

• Speech-Language Pathologist in Stratham, NH
• Providers in Stratham, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.