Individual provider Active NPI

Leanne Foster-Abraham

  • Speech-Language Pathologist
  • Lithonia, GA
National Provider Identifier
1871853069
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011344 Issued in GA
Practice address
8075 Mall Pkwy
Ste 101-334
Lithonia, GA 30038-6993
Phone
(678) 508-1935
Fax
(770) 323-2804
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X SLP011344 GA Primary

Addresses

Primary practice location

8075 Mall Pkwy
Ste 101-334
Lithonia, GA 30038-6993

Mailing address

8075 Mall Pkwy
Ste 101-334
Lithonia, GA 30038-6993
Phone (678) 508-1935

Other identifiers 1

IdentifierTypeStateIssuer
743527131AMedicaidGA

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
SLP011344GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1871853069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 MALL PKWY",
            "address_2": "STE 101-334",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386993",
            "telephone_number": "678-508-1935",
            "fax_number": "770-323-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MALL PKWY",
            "address_2": "STE 101-334",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386993",
            "telephone_number": "678-508-1935",
            "fax_number": "770-323-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-ABRAHAM",
        "first_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "743527131A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.