Active NPI
Leslee Liberadzki, SLP
- Speech-Language Pathologist
- Bucyrus, OH
National Provider Identifier
1609595172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.20222082-SP
- Practice address
- 245 Woodlawn Ave
Bucyrus, OH 44820-2460 - Phone
- (419) 562-2367
- NPI assigned
- Aug 26, 2022
- 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 | COND.20222082-SP | OH | Primary |
Addresses
Primary practice location
245 Woodlawn Ave
Bucyrus, OH 44820-2460
Mailing address
302 E. Clay Street
Mt. Blanchard, OH 45867
Phone (419) 889-8554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lliberadzki@bucyrusschools.org | Direct |
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 |
|---|---|---|---|
| COND.20222082-SP | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1609595172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E. CLAY STREET",
"city": "MT. BLANCHARD",
"state": "OH",
"postal_code": "45867",
"telephone_number": "419-889-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 WOODLAWN AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448202460",
"telephone_number": "419-562-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERADZKI",
"first_name": "LESLEE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.20222082-SP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lliberadzki@bucyrusschools.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "245 Woodlawn Ave",
"city": "Bucyrus",
"state": "OH",
"country_code": "US",
"postal_code": "448202460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.