Active NPI
Jeanette Stone Leonard, M.S.
- Speech-Language Pathologist
- West Lafayette, IN
National Provider Identifier
1912914680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23000978A
- Practice address
- 715 Clinic Drive
Purdue University
West Lafayette, IN 47907 - Phone
- (765) 490-3435
- Fax
- (765) 496-1227
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23000978 | IN | |
| Audiologist | 231H00000X | 23000978A | IN | |
| Speech-Language Pathologist | 235Z00000X | 22000978 | IN | |
| Speech-Language Pathologist | 235Z00000X | 23000978A | IN | Primary |
Addresses
Primary practice location
715 Clinic Drive
Purdue University
West Lafayette, IN 47907
Mailing address
715 Clinic Drive
Purdue University
West Lafayette, IN 47907
Phone (765) 490-3435
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23000978 | IN | MD | Audiologist |
| 23000978A | IN | MD | Audiologist |
| 22000978 | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1912914680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 CLINIC DRIVE",
"address_2": "PURDUE UNIVERSITY",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47907",
"telephone_number": "765-490-3435",
"fax_number": "765-496-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 CLINIC DRIVE",
"address_2": "PURDUE UNIVERSITY",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47907",
"telephone_number": "765-490-3435",
"fax_number": "765-496-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JEANETTE",
"middle_name": "STONE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23000978",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23000978A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22000978",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "23000978A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.