Andre William Leysath

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.2017472-SP Issued in OH

Practice address

788 Ohio Pike
Cincinnati, OH 45245-2267

Phone

(513) 735-2540

NPI assigned

Aug 16, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831615319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 AUBURN AVE APT 316",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192826",
            "telephone_number": "937-919-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452267",
            "telephone_number": "513-735-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Clough Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451715",
            "country_code": "US",
            "telephone_number": "513-943-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYSATH",
        "first_name": "ANDRE",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2017472-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexx Alt Galaxy LLC
• Lexx Alt Galaxy LLC
• Daniel Ley
• Sanita Ley, PHD
• Adam Leyendecker
• Amanda Leytham
• Patricia Leyva Benavides, RD
• Carol Li, MD
• Janette Li, M.D.
• Jingwei Li, MD, PHD

• Speech-Language Pathologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.