Active NPI
Leslie Ann Rodriguez, M.A., CCC-SLP
- Speech-Language Pathologist
- Livermore, CA
National Provider Identifier
1548408933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 17254
- Practice address
- 4951 Arroyo Rd
Audiology & Speech Pathology
Livermore, CA 94550-9650 - Phone
- (925) 449-6449
- Fax
- (925) 449-6499
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 17254 | CA | Primary |
Addresses
Primary practice location
4951 Arroyo Rd
Audiology & Speech Pathology
Livermore, CA 94550-9650
Mailing address
3801 Miranda Ave
Audiology & Speech Pathology
Palo Alto, CA 94304-1207
Phone (650) 493-5000
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 17254 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1548408933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE",
"address_2": "AUDIOLOGY & SPEECH PATHOLOGY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000",
"fax_number": "925-449-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 ARROYO RD",
"address_2": "AUDIOLOGY & SPEECH PATHOLOGY",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945509650",
"telephone_number": "925-449-6449",
"fax_number": "925-449-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 17254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.