Ledeidre S Garcia – Speech-Language Assistant

Key facts

NPI: 1811266968
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Assistant 2355S0801X
License: SLPA000234 (GA)
Practice address: 2205 S Main St
Ste a
Las Cruces, NM 88005-3113
Phone: (575) 386-4184
Fax: (575) 526-1568
NPI assigned: Dec 19, 2011
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Let'S Talk Therapy Occupational Therapist · Duluth, GA · NPI 1407249055

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
SLPA000234	GA	MD	Speech-Language Assistant

Practice roles

Organization	Specialty	Status	New patients
Let'S Talk Therapy		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Assistant	2355S0801X	SLPA000234	GA	Yes

Addresses

Primary practice location

2205 S Main St
Ste a
Las Cruces, NM 88005-3113

Mailing address

4500 Satellite Blvd
Ste 2290
Duluth, GA 30096-5037
Phone (800) 381-2195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 14, 2013.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1811266968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD",
            "address_2": "STE 2290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965037",
            "telephone_number": "800-381-2195",
            "fax_number": "888-381-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 S MAIN ST",
            "address_2": "STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053113",
            "telephone_number": "575-386-4184",
            "fax_number": "575-526-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LEDEIDRE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "GA",
            "license": "SLPA000234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Speech-Language Assistant in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.