Individual provider Active NPI

Tierra Lebbie, M. ED

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1811378300
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07853 Issued in MD
Practice address
1500 December Dr Apt 304
Silver Spring, MD 20904-3611
Phone
(252) 259-5829
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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 07853 MD Primary

Addresses

Primary practice location

1500 December Dr Apt 304
Silver Spring, MD 20904-3611

Mailing address

1500 December Dr Apt 304
Silver Spring, MD 20904-3611
Phone (252) 259-5829

Other names 1

  • Tierra Latrice Cox Former name

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 Education

State licenses

LicenseStateTypeSpecialty
07853MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1811378300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DECEMBER DR APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043611",
            "telephone_number": "252-259-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DECEMBER DR APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043611",
            "telephone_number": "252-259-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBBIE",
        "first_name": "TIERRA",
        "credential": "M. ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "COX",
            "middle_name": "LATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.