Individual provider Active NPI

Leann Jeanette Landreth, CLINSCID

  • Speech-Language Pathologist
  • Grand Junction, CO
National Provider Identifier
1710206495
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24465244 Issued in CO
Practice address
623 Hill Ave
Grand Junction, CO 81501-2721
Phone
(970) 462-9883
Fax
(970) 658-5891
NPI assigned
May 20, 2010
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 24465244 CO Primary
Speech-Language Pathologist 235Z00000X SLP007832 GA

Addresses

Primary practice location

623 Hill Ave
Grand Junction, CO 81501-2721

Mailing address

623 Hill Ave
Grand Junction, CO 81501-2721
Phone (970) 462-9883

Other identifiers 2

IdentifierTypeStateIssuer
9000233697MedicaidCO
003127569BMedicaidGA

Other names 1

  • Leann Jeanette Fortner Other 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

State licenses

LicenseStateTypeSpecialty
24465244COMDSpeech-Language Pathologist
SLP007832GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Say & Play Club, LLC Speech-Language Pathologist Current Accepting new patients
Mesa County Valley School District #51 CurrentSince Aug 18, 2024 Accepting new patients

Locations

2115 Grand Ave
Grand Junction, CO 81501
Phone (970) 254-4872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1710206495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HILL AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012721",
            "telephone_number": "970-462-9883",
            "fax_number": "970-658-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HILL AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012721",
            "telephone_number": "970-462-9883",
            "fax_number": "970-658-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "LEANN",
        "middle_name": "JEANETTE",
        "credential": "CLINSCID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "24465244",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000233697",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127569B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "FORTNER",
            "middle_name": "JEANETTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.