Individual provider Active NPI

Jennifer Ann Leigh, M.S. CCC SLP

  • Speech-Language Pathologist
  • Riverview, FL
National Provider Identifier
1902963515
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5793 Issued in FL
Practice address
10022 Water Works LN
Riverview, FL 33569-5301
Phone
(813) 663-9828
Fax
(813) 677-5029
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5793 FL Primary

Addresses

Primary practice location

10022 Water Works LN
Riverview, FL 33569-5301

Mailing address

4507 Compass Oaks Dr
Valrico, FL 33594-7390
Phone (813) 643-5321

Other identifiers 1

IdentifierTypeStateIssuer
886009201MedicaidFL

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer a. Leigh, M.S. CCC-SLP, Inc. CurrentSince Jul 4, 2021 Accepting new patients
Kids in Balance, Inc. Past Accepting new patients

Locations

7243 US Highway 301 S
Ste A
Riverview, FL 33578
Phone (813) 663-9828

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902963515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 COMPASS OAKS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335947390",
            "telephone_number": "813-643-5321",
            "fax_number": "813-662-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695301",
            "telephone_number": "813-663-9828",
            "fax_number": "813-677-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886009201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.