Active NPI
Lesley Ann Bishop
- Speech-Language Pathologist
- Ellijay, GA
National Provider Identifier
1699334342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010329
- Practice address
- 114 Penland St
Ellijay, GA 30540-0487 - Phone
- (706) 914-2483
- NPI assigned
- Jun 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3422 | KY | |
| Speech-Language Pathologist | 235Z00000X | 14042 | NC | |
| Speech-Language Pathologist | 235Z00000X | SLP010329 | GA | Primary |
Addresses
Primary practice location
114 Penland St
Ellijay, GA 30540-0487
Mailing address
146 Sleepy Hollow Dr
Murphy, NC 28906-9530
Phone (607) 424-1049
Other practice location 1
200 Nursing Home Ln
Pikeville, KY 41501-6896
Phone (606) 639-4840
Other practice location 2
146 Sleepy Hollow Dr
Murphy, NC 28906-9530
Phone (607) 424-1049
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3422 | KY | MD | Clinical Social Worker |
| 14042 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1699334342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 SLEEPY HOLLOW DR",
"city": "MURPHY",
"state": "NC",
"postal_code": "289069530",
"telephone_number": "607-424-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 PENLAND ST",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305400487",
"telephone_number": "706-914-2483"
}
],
"practiceLocations": [
{
"address_1": "200 Nursing Home Ln",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415016896",
"country_code": "US",
"telephone_number": "606-639-4840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "146 Sleepy Hollow Dr",
"address_purpose": "LOCATION",
"city": "Murphy",
"state": "NC",
"postal_code": "289069530",
"country_code": "US",
"telephone_number": "607-424-1049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "LESLEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "3422",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14042",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellijay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.