Individual provider Active NPI

Jessica Lesyk Labagh, CCC SLP

  • Speech-Language Pathologist
  • Ocala, FL
National Provider Identifier
1518080472
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6823 Issued in FL
Practice address
3301 SW 34TH Cir
Suite 202
Ocala, FL 34474-6621
Phone
(352) 237-2292
Fax
(352) 237-2236
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 6823 FL Primary

Addresses

Primary practice location

3301 SW 34TH Cir
Suite 202
Ocala, FL 34474-6621

Mailing address

3301 SW 34TH Cir
Suite 202
Ocala, FL 34474-6621
Phone (352) 237-2292

Other identifiers 1

IdentifierTypeStateIssuer
S2571OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA 6823FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps & Bounds Pediatric Therapy, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518080472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-237-2292",
            "fax_number": "352-237-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-237-2292",
            "fax_number": "352-237-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAGH",
        "first_name": "JESSICA",
        "middle_name": "LESYK",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S2571",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.