Individual provider Active NPI

Leah L Knofczynski

  • Speech-Language Pathologist
  • Madison, SD
National Provider Identifier
1962669911
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01078113 Issued in SD
Practice address
323 SW 10TH St
Madison, SD 57042-3200
Phone
(605) 256-6551
Fax
(605) 256-6469
NPI assigned
May 19, 2008
Last updated
Nov 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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 01078113 SD Primary

Addresses

Primary practice location

323 SW 10TH St
Madison, SD 57042-3200

Mailing address

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

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

LicenseStateTypeSpecialty
01078113SDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1962669911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOFCZYNSKI",
        "first_name": "LEAH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "01078113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.