Individual provider Active NPI

Leanna Day Vollintine, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Weatherford, TX
National Provider Identifier
1700910387
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101497 Issued in TX
Practice address
585 Baker Cut Off Rd
Weatherford, TX 76087
Phone
(817) 798-7789
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 101497 TX Primary

Addresses

Primary practice location

585 Baker Cut Off Rd
Weatherford, TX 76087

Mailing address

585 Baker Cut Off Rd
Weatherford, TX 76087-5564
Phone (817) 798-7789

Other identifiers 2

IdentifierTypeStateIssuer
8ES437OtherTXBLUE CROSS BLUE SHIELD
338649201MedicaidTX

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
101497TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechworks Therapy Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1700910387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 BAKER CUT OFF RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875564",
            "telephone_number": "817-798-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 BAKER CUT OFF RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76087",
            "telephone_number": "817-798-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLINTINE",
        "first_name": "LEANNA",
        "middle_name": "DAY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8ES437",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338649201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

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

Verify at the official NPI Registry.