Kailey Jo Leach, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14314497 Issued in MN

Practice address

17835 179TH TRL W
Lakeville, MN 55044-5207

Phone

(952) 435-1999

NPI assigned

Mar 31, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Advantage Speech Therapy Incorporated

  • Speech-Language Pathologist
  • Lakeville, MN
  • NPI 1245983667
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1902546526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 179TH TRL W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445207",
            "telephone_number": "952-215-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17835 179TH TRL W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445207",
            "telephone_number": "952-435-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Welcome Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293157",
            "country_code": "US",
            "telephone_number": "952-215-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "KAILEY",
        "middle_name": "JO",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "14314497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Lorraine Larson
• Gerard David Lasalle, MS LP
• Jacqueline Suresh Layton, PH.D.
• Ashley Le
• Sharon Le, PHARM D
• Lead Care LLC
• Cassie Marie Lebrun
• Kelsey Lee
• Krista Ann Dufresne Lee, LMFT
• Linda Lee

• Speech-Language Pathologist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.