Amy Ann Leizer, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2005002752 Issued in MO

Practice address

21005 S School Rd
Peculiar, MO 64078-9346

Phone

(816) 892-1352

Fax

(816) 892-1384

NPI assigned

Jan 21, 2008

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raymore-Peculiar Reorganized School

  • Local Education Agency (LEA)
  • Peculiar, MO
  • NPI 1487871471

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1689850679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SW ALBATROSS CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824501",
            "telephone_number": "816-892-1352",
            "fax_number": "816-892-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21005 S SCHOOL RD",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789346",
            "telephone_number": "816-892-1352",
            "fax_number": "816-892-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIZER",
        "first_name": "AMY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2005002752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Peculiar, MO
• Providers in Peculiar, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.