Leisa Carol Hutchison, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0677 Issued in KY

Practice address

125 Huntsman Cir
Bowling Green, KY 42103-7064

Phone

(270) 746-9021

Fax

(270) 746-0159

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Leisa Smith Hutchison Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Hutchison Speech and Language Services

  • Early Intervention Provider Agency
  • Bowling Green, KY
  • NPI 1306295472
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508071234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HUNTSMAN CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037064",
            "telephone_number": "270-746-9021",
            "fax_number": "270-746-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HUNTSMAN CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037064",
            "telephone_number": "270-746-9021",
            "fax_number": "270-746-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "LEISA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "0677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEISA",
            "last_name": "HUTCHISON",
            "middle_name": "SMITH",
            "prefix": "MRS.",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Hurt, PTA
• Nayab I. Hussain, PA-C
• Abigail L Husted, RD
• Amy Hutchinson
• Hutchison Speech and Language Services
• Lindsie Joel Hutchison
• Darren Hunter Hylton
• Adam Hyman, PT, DPT
• Troy Dell Hyman, CST/CFA
• Caylee Hymer, CCC-SLP

• Speech-Language Pathologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.