LESLIE LONG (NPI# 1043631005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043631005 |
| Entity Type | Individual |
| Full Name | LESLIE LONG |
| Credential | SLP-CCC |
| Practice Address |
129 W Depot St Greeneville TN 37743-1102 |
| Mailing Address |
Po Box 8114 Chattanooga TN 37414-0114 |
| Practice Telephone | 4236221551 |
| Practice Fax Number | 8778567133 |
| Mailing Telephone | 4236221551 |
| Mailing Fax Number | 8778567133 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2404 | TN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811327331 | Leslie Long | Student in an Organized Health Care Education/Training Program | Rr 2 Box 559, Stilwell, OK 74960-9617 | 2013-11-19 |
| 1053561829 | Leslie Lampe Long | Counselor | 33 Arnold St, Providence, RI 02906-1034 | 2008-09-29 |
| 1336140151 | Leslie A Long | Optometrist | 1 Hopkins Rd, Williamsville, NY 14221-4641 | 2005-08-02 |
| 1801269451 | Leslie Long | Nurse Practitioner | 51 N Dunlap St, Ste. 235, Memphis, TN 38105-4625 | 2015-11-04 |
| 1568691525 | Leslie F Long | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2009-07-10 |
| 1255549655 | Leslie Frances Long | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2007-05-18 |
| 1487734562 | Leslie S Long | Anesthesiology | Taylor At Marion St, Columbia, SC 29220-0001 | 2006-10-16 |
| 1568492825 | Leslie B. Long | Internal Medicine | 1600 Flossie Dr, Greendale, IN 47025-8424 | 2006-07-03 |
| Street Address |
129 W DEPOT ST |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093136236 | Greeneville City Schools | Local Education Agency (LEA) | 129 W Depot St, Greeneville, TN 37743-1102 | 2013-12-13 |
| 1740601798 | Tammie Douthat | Speech-Language Pathologist | 129 W Depot St, Greeneville, TN 37743-1102 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938003 | Roberta Kathleen Allen | Speech-Language Pathologist | 110 Jonathan Ln, Greeneville, TN 37745-6512 | 2017-01-11 |
| 1134473242 | Sierra Ellen Wolcott | Speech-Language Pathologist | 1801 Ridgemont Dr, Greeneville, TN 37745-4390 | 2012-10-29 |
| 1588871867 | Kim Snelson | Speech-Language Pathologist | 144 Naples Ln, Greeneville, TN 37745-3603 | 2007-05-17 |
| 1649486002 | Maxi Douthat Morelock | Speech-Language Pathologist | 412 Circle Heights Dr, Greeneville, TN 37745-4109 | 2007-05-15 |
| 1265647085 | Carrie S. Mcdermitt | Speech-Language Pathologist | 4825 Andrew Johnson Highway, Greeneville, TN 37743 | 2007-05-14 |
| 1164995072 | Rhoda Kanna | Speech-Language Pathologist | 910 W Summer St, Greeneville, TN 37743-3016 | 2019-01-03 |
| 1497294292 | Nora Jane Lewis | Speech-Language Pathologist | 70 West St, Greeneville, TN 37745-4470 | 2017-02-14 |
| 1740601798 | Tammie Douthat | Speech-Language Pathologist | 129 W Depot St, Greeneville, TN 37743-1102 | 2013-12-18 |
| 1740546258 | Lucy Boys | Speech-Language Pathologist | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2012-04-09 |
| 1902014707 | Elizabeth Tupacz Imes | Speech-Language Pathologist | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 | 2007-05-18 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.