Individual provider Active NPI

Leah Judice, MS, CCC-SLP, HIS

  • Hearing Instrument Specialist
  • Chesterfield, MO
National Provider Identifier
1750783536
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2022048117 Issued in MO
Practice address
143 Long Rd
Chesterfield, MO 63005-1223
Phone
(636) 536-1555
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 146012397 IL
Hearing Instrument Specialist 237700000X 2022048117 MO Primary

Addresses

Primary practice location

143 Long Rd
Chesterfield, MO 63005-1223

Mailing address

700 Shallowcreek VW
Manchester, MO 63021-6618
Phone (270) 210-0090

Other practice location 1

614 Summit Ave
Collinsville, IL 62234-3728
Phone (618) 344-8476

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 Science

State licenses

LicenseStateTypeSpecialty
146012397ILMDSpeech-Language Pathologist
2022048117MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hearing Centers LLC Hearing Instrument Specialist PastSince Dec 18, 2022 Accepting new patients
Heartland Hearing Care Hearing Instrument Specialist PastSince Dec 18, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1750783536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHALLOWCREEK VW",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216618",
            "telephone_number": "270-210-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONG RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051223",
            "telephone_number": "636-536-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622343728",
            "country_code": "US",
            "telephone_number": "618-344-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDICE",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP, HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012397",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2022048117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.