Leslie Alina McMullen, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13731 Issued in FL

Practice address

614 Whittingham PL
Lake Mary, FL 32746-3788

Phone

(321) 287-0662

NPI assigned

Jul 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Leslie McMullen, Ms, CCC-SLP

  • Speech-Language Pathologist
  • Christiansted, VI
  • NPI 1639863343
  NPD Authorized official

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1699400424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WHITTINGHAM PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463788",
            "telephone_number": "321-287-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 WHITTINGHAM PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463788",
            "telephone_number": "321-287-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "LESLIE",
        "middle_name": "ALINA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA FICTITIOUS NAME PUBLISHING",
            "identifier": "G20000132042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Leon McIntosh, PT
• Tamera McKenzie
• Garnet Indigo McLaughlin
• Kim McLeod, MA CCC SLP
• Alicia Gamble McLoone, PA-C
• Michelle Ann McMurtery, RD, CSR, LDN
• Anne McNamara, DPM
• Med-Ride of Florida LLC
• Medi-Tox Labs
• Medica Pharmacy

• Speech-Language Pathologist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.