Leah M Braly, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4656 Issued in SC

Practice address

1211 Camp Ridge LN
Middleburg, FL 32068-9206

Phone

(843) 906-3385

NPI assigned

Jun 24, 2011

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kernaghan and Moore: Speech and Language Therapy Services, Inc.

  • Speech-Language Pathologist
  • New Port Richey, FL
  • NPI 1467693192
  Medicare reassignment NPD

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1497041727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CAMP RIDGE LN",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320689206",
            "telephone_number": "843-906-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CAMP RIDGE LN",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320689206",
            "telephone_number": "843-906-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALY",
        "first_name": "LEAH",
        "middle_name": "M",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Booth, LMHC
• Kimbley Boswell, LDO
• Meghan Bowser, MD
• Keithe Bradford, LMT
• Kent Thomas Braeutigam, D.O.
• Brittany Briggs, CCC-SLP
• Latoya Brown, RPH
• Nikishia Shantrell Brown
• Joanna Leigh Phelps Bruderer
• Yvette Adeline Bruno-Gaston, RN

• Speech-Language Pathologist in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.