Active NPI
Leah Coleman Duesterhaus, M.ED CCC-SLP
- Speech-Language Pathologist
- Charlottesville, VA
National Provider Identifier
1841886272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2204000480
- Practice address
- 1102 Rose Hill Dr
Charlottesville, VA 22903-5128 - Phone
- (434) 979-8628
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204000480 | VA | Primary |
Addresses
Primary practice location
1102 Rose Hill Dr
Charlottesville, VA 22903-5128
Mailing address
228 Pfister Ave
Charlottesville, VA 22903-3661
Phone (434) 987-6563
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leah@albemarletherapycenter.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204000480 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charleston Center, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
dba Albemarle Therapy Center
- Rehabilitation Clinic/Center
- Charlottesville, VA
- NPI 1427150630
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1841886272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PFISTER AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033661",
"telephone_number": "434-987-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 ROSE HILL DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035128",
"telephone_number": "434-979-8628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUESTERHAUS",
"first_name": "LEAH",
"middle_name": "COLEMAN",
"credential": "M.ED CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000480",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "leah@albemarletherapycenter.com",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1102 Rose Hill Dr",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229035128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.