Rebecca Greenleaf

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1570 Issued in ME

Practice address

44 Plymouth Rd
Carmel, ME 04419-3453

Phone

(207) 848-5173

Fax

(207) 848-5196

NPI assigned

Aug 24, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• School Administrative Distr No 38

  • Local Education Agency (LEA)
  • Carmel, ME
  • NPI 1801009683
  NPD (past)
• School Administrative District 23

  • Local Education Agency (LEA)
  • Carmel, ME
  • NPI 1992918775
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1750697140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PLYMOUTH RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193453",
            "telephone_number": "207-848-5173",
            "fax_number": "207-848-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PLYMOUTH RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193453",
            "telephone_number": "207-848-5173",
            "fax_number": "207-848-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Carmel, ME
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.