Leslie Baker
Individual provider Active NPI Speech-Language Pathologist · Lebanon, TN
NPI 1497016299 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1497016299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4691 (TN)
- Practice address
- 351 Stumpy LN
Lebanon, TN 37090-5339 - Phone
- (423) 622-1551
- Fax
- (423) 622-1556
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4691 | TN | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4691 | TN | Yes |
Addresses
Primary practice location
351 Stumpy LN
Lebanon, TN 37090-5339
Mailing address
351 Stumpy LN
Lebanon, TN 37090-5339
Phone (423) 622-1551
NPI Registry JSON
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1497016299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 STUMPY LN",
"city": "LEBANON",
"state": "TN",
"postal_code": "370905339",
"telephone_number": "423-622-1551",
"fax_number": "423-622-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 STUMPY LN",
"city": "LEBANON",
"state": "TN",
"postal_code": "370905339",
"telephone_number": "423-622-1551",
"fax_number": "423-622-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LESLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "4691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
- James M Bachstein
- Badru, Inc
- Mark Bailey
- Rachel Baird
- Katherine Plumblee Baker
- Maria Jolin Baker
- Thomas Scott Baker
- Rachel Hewlett Baldridge
- John David Baloun
- Kaeli Nicole Banas
All providers in Lebanon, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.