Active NPI
Leeanna Sparks
- Speech-Language Pathologist
- Tuscaloosa, AL
National Provider Identifier
1558146183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5152
- Practice address
- 2003 25TH Ave
Tuscaloosa, AL 35401-4527 - Phone
- (205) 764-0769
- NPI assigned
- Aug 30, 2023
- 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 | 5152 | AL | Primary |
Addresses
Primary practice location
2003 25TH Ave
Tuscaloosa, AL 35401-4527
Mailing address
611 Homestead LN
Tuscaloosa, AL 35405-9749
Phone (205) 344-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1502 Main St
Greensboro, AL 36744
Phone (205) 575-1609
2703 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 248-7064
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": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1558146183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 HOMESTEAD LN",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354059749",
"telephone_number": "205-344-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 25TH AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354014527",
"telephone_number": "205-764-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "LEEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "5152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.