Organization Active NPI

Leslie McMullen

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1851767586
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13731 Issued in FL
Legal business name
LESLIE MCMULLEN
Practice address
2701 N Rocky Point Dr
Tampa, FL 33607
Phone
(321) 287-0662
NPI assigned
Aug 17, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie McMullen, MSNPI 1699400424
Title
Speech Language Pathologist
Phone
(321) 287-0662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA13731 FL Primary

Addresses

Primary practice location

2701 N Rocky Point Dr
Tampa, FL 33607

Mailing address

549 Woodland Terrace Blvd
Orlando, FL 32828-6765
Phone (321) 287-0662

National Provider Directory

National Provider Directory

Locations

2701 N Rocky Point Dr
Tampa, FL 33607
Phone (321) 287-0662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1851767586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 WOODLAND TERRACE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286765",
            "telephone_number": "321-287-0662",
            "fax_number": "321-287-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "321-287-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE MCMULLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "321-287-0662",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.