Leslie Ryan Hancock

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146016389 Issued in IL

Practice address

442 Comfort Dr
Marion, IL 62959-4927

Phone

(618) 364-0482

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Ryan Blackley Former name

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1881471001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 GRAND AVE",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629511950",
            "telephone_number": "618-521-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 COMFORT DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594927",
            "telephone_number": "618-364-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "LESLIE",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BLACKLEY",
            "middle_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Hall, O.D.
• Joel Hamilton, MS, PHD, RD, RDN
• Kristin Dawn Hammersley, LCSW
• Sarah Hampton
• Kassi Lee Hancock
• Morgan Elizabeth Hanke, PHARM D
• Karen J. Harbal, CRNA
• Cindy Hardin
• Savanah Jayde Hardsaw
• Richard Bradford Hargraves, PHARM. D.

• Speech-Language Pathologist in Marion, IL
• Providers in Marion, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.