Active NPI
Leah Lanette Williams, MCDCCC/SLP
- Speech-Language Pathologist
- Shreveport, LA
National Provider Identifier
1942474432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5547
- Practice address
- 1105 Island Park Blvd
Shreveport, LA 71105-4741 - Phone
- (318) 210-5711
- NPI assigned
- Apr 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5547 | LA | Primary |
Addresses
Primary practice location
1105 Island Park Blvd
Shreveport, LA 71105-4741
Mailing address
1105 Island Park Blvd
Shreveport, LA 71105-4741
Phone (318) 210-5711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5547 | Other | LA | SPEECH-LANGUAGE PATHOLOGY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5547 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1942474432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 ISLAND PARK BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054741",
"telephone_number": "318-210-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 ISLAND PARK BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054741",
"telephone_number": "318-210-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LEAH",
"middle_name": "LANETTE",
"name_prefix": "Miss",
"credential": "MCDCCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY",
"identifier": "5547",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.