Leah Anderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLPL5092 Issued in AZ

Practice address

3003 32ND Ave S Ste 9
Fargo, ND 58103-6163

Phone

(701) 232-2340

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  ND, Speech-Language Pathologist

  Medicare reassignment NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD (past)
• Pediatric Therapy Partners, Inc.

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958

  Speech-Language Pathologist

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in ND

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2010.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1639207657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 51ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046023",
            "telephone_number": "701-866-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 32ND AVE S STE 9",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036163",
            "telephone_number": "701-232-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLPL5092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124953",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joelle Denise Anderson, OTR/L
• Jon D Anderson, DDS
• Justin Earl Anderson, DPT
• Kalli Anderson
• Kittery Anderson
• Lindsay Nichole Anderson, PH.D.
• Logan Anderson
• Marie E Anderson, SLP
• Marla Lister Anderson
• Megan G Anderson, RN

• All providers in Fargo, ND
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.

Verify at the official NPI Registry.