Kim H Leonard, M.A./CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58007045 Issued in NY

Practice address

51 School St
Lake Ronkonkoma, NY 11779-2231

Phone

(631) 471-0354

NPI assigned

Jan 5, 2012

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1770853871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HIGHLAND AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681646",
            "telephone_number": "631-757-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHOOL ST",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792231",
            "telephone_number": "631-471-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KIM",
        "middle_name": "H",
        "credential": "M.A./CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58007045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Family Medical Practice PC
• Lake Ronkonkoma Fire District
• Gail Phyllis Lampert
• Leaps and Bounds Consulting Services, Inc.
• Michael Lee, MD
• Terri Leonard, M.S.
• David Ross Leonoff, DDS
• Julie M. Lewis
• Amanda Little, L.P.N.
• Melissa Lo Faso-Arcangel, REGISTERED NURSE

• Speech-Language Pathologist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.