Traci Lepacik, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1239 Issued in AZ

Practice address

3675 S Rome St
Gilbert, AZ 85297-7342

Phone

(480) 695-4522

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEDDCA

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.

• Arizona Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1265682850
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1962852509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 E HONEYSUCKLE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862316",
            "telephone_number": "480-695-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977342",
            "telephone_number": "480-695-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPACIK",
        "first_name": "TRACI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S Leon, FNP
• Erinn Leon, MA,LPC
• Clinton J Leonard, MD
• Cory Leonard
• Amber Valerie Leonhardt, PMHNP-BC
• Mitchell Lepetich, DMD
• John Clark Lepper, DC
• Michelle Leroy, PHD, OTR/L, BCP
• Lisa Thi Lertique, FNP-C
• Leslie

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.