Individual provider Active NPI

Leah Howard Eustace, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1699014274
Registry record updated Feb 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108476 Issued in TX
Practice address
4607 Timberglen Rd
Apt 313
Dallas, TX 75287-5237
Phone
(631) 721-7274
Fax
(631) 841-8879
NPI assigned
Feb 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 108476 TX Primary

Addresses

Primary practice location

4607 Timberglen Rd
Apt 313
Dallas, TX 75287-5237

Mailing address

4607 Timberglen Rd
Apt 313
Dallas, TX 75287-5237
Phone (631) 721-7274

Other names 1

  • Mrs. Leah Howard Eustace Professional name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108476TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1699014274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 TIMBERGLEN RD",
            "address_2": "APT 313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875237",
            "telephone_number": "631-721-7274",
            "fax_number": "631-841-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 TIMBERGLEN RD",
            "address_2": "APT 313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875237",
            "telephone_number": "631-721-7274",
            "fax_number": "631-841-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTACE",
        "first_name": "LEAH",
        "middle_name": "HOWARD",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "EUSTACE",
            "middle_name": "HOWARD",
            "prefix": "MRS.",
            "credential": "M.A. CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; 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.