Individual provider Active NPI

Sonia Yudhit Leyva, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Coralville, IA
National Provider Identifier
1740519917
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
001954 Issued in IA
Practice address
2350 Oakdale Blvd
Coralville, IA 52241-9702
Phone
(319) 351-5437
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 001954 IA Primary

Addresses

Primary practice location

2350 Oakdale Blvd
Coralville, IA 52241-9702

Mailing address

5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone (515) 727-8750

Other names 1

  • Ms. Sonia Yudhit Ponce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405002416 IA Practitioner - Qualified Speech Language Pathologist 7214375443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dae, Inc.Group PAC ID 9133257645, 5 clinicians

Practice addresses (Care Compare)

402 W Burlington Ave
Suite 200
Fairfield, IA 52556-3243
Phone (641) 469-3130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001954IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dae, Inc. Speech-Language Pathologist CurrentSince Mar 2, 2024 Accepting new patients
The Childserve Clinic Inc PastSince Jun 22, 2021 Accepting new patients
Childserve Therapy, Inc. Speech-Language Pathologist PastSince Jun 22, 2021 Accepting new patients

Locations

402 W Burlington Ave
Ste 200
Fairfield, IA 52556
Phone (641) 469-3130

11623 Arbor St
Omaha, NE 68144
Phone (402) 334-1919

11623 Arbor St
Ste 200
Omaha, NE 68144
Phone (402) 334-1919

Organizations & group practices 3

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1740519917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-8750",
            "fax_number": "515-727-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 OAKDALE BLVD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419702",
            "telephone_number": "319-351-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "SONIA",
        "middle_name": "YUDHIT",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "001954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "PONCE",
            "middle_name": "YUDHIT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.