Active NPI
Leslie White, CCC-SLP
- Speech-Language Pathologist
- Arkadelphia, AR
National Provider Identifier
1568794733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1855
- Practice address
- 711 Clinton St
Arkadelphia, AR 71923-5921 - Phone
- (870) 246-7928
- NPI assigned
- Feb 12, 2010
- 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 | 1855 | AR | Primary |
Addresses
Primary practice location
711 Clinton St
Arkadelphia, AR 71923-5921
Mailing address
711 Clinton St
Arkadelphia, AR 71923-5921
Phone (870) 246-7928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01091487 | Other | AR | ARKANSAS SPEECH/LANGUAGE/HEARING ASSOCIATION |
| 1855 | Other | AR | SPEECH-LANGUAGE PATHOLOGY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1855 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1568794733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 CLINTON ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235921",
"telephone_number": "870-246-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 CLINTON ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235921",
"telephone_number": "870-246-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LESLIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "1855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS SPEECH/LANGUAGE/HEARING ASSOCIATION",
"identifier": "01091487",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY LICENSE",
"identifier": "1855",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.