Individual provider Active NPI

Denise Kirk Leasure, CCC.SLP

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1780736629
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2955 Issued in SC
Practice address
769 Clearview Dr
Charleston, SC 29412-4545
Phone
(843) 442-1052
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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 2955 SC Primary

Addresses

Primary practice location

769 Clearview Dr
Charleston, SC 29412-4545

Mailing address

769 Clearview Dr
Charleston, SC 29412-4545
Phone (843) 442-1052

Other identifiers 1

IdentifierTypeStateIssuer
SAO275MedicaidSC

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1780736629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 CLEARVIEW DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124545",
            "telephone_number": "843-442-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 CLEARVIEW DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124545",
            "telephone_number": "843-442-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASURE",
        "first_name": "DENISE",
        "middle_name": "KIRK",
        "name_prefix": "Miss",
        "credential": "CCC.SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SAO275",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.