Individual provider Active NPI

Stephenie Sims Leyhue, SLP, AUDIOLOGIST

  • Speech-Language Pathologist
  • Martin, TN
National Provider Identifier
1861510802
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 0000002750 Issued in TN
Practice address
145 Kennedy Dr Ste B
Martin, TN 38237-3341
Phone
(731) 281-4407
Fax
(731) 588-5739
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A 0000001052 TN
Speech-Language Pathologist 235Z00000X SP 0000002750 TN Primary

Addresses

Primary practice location

145 Kennedy Dr Ste B
Martin, TN 38237-3341

Mailing address

145 Kennedy Dr Ste B
Martin, TN 38237-3341
Phone (731) 281-4407

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

LicenseStateTypeSpecialty
SP 0000002750TNMDSpeech-Language Pathologist
A 0000001052TNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Verbalize Speech and Language Center Speech-Language Pathologist Current Accepting new patients

Locations

145 Kennedy Dr
Ste B
Martin, TN 38237
Phone (731) 281-4407

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1861510802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373341",
            "telephone_number": "731-281-4407",
            "fax_number": "731-588-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373341",
            "telephone_number": "731-281-4407",
            "fax_number": "731-588-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYHUE",
        "first_name": "STEPHENIE",
        "middle_name": "SIMS",
        "name_prefix": "Mrs.",
        "credential": "SLP, AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "A 0000001052",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP 0000002750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.