LEAH REILLY NICHOLS (NPI# 1003396896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003396896 |
| Entity Type | Individual |
| Full Name | LEAH REILLY NICHOLS |
| Credential | CCC-SLP |
| Practice Address |
3044 Due West Road Dallas GA 30157-3015 |
| Mailing Address |
3044 Due West Rd Dallas GA 30157-2125 |
| Practice Telephone | 7704439672 |
| Mailing Telephone | 7704439672 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP010245 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992213169 | Leah Ellen Nichols | Physical Therapist | 4639 W Diversey Ave, Chicago, IL 60639 | 2018-01-22 |
| 1255858197 | Leah Nichols | Case Manager/Care Coordinator | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2017-08-22 |
| Street Address |
3044 DUE WEST ROAD |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679056196 | Alyson Logan Parker | Physical Therapist | 3044 Due West Road, Dallas, GA 30157-3015 | 2018-09-11 |
| 1124501978 | Autumn T Jones | Occupational Therapist | 3044 Due West Road, Dallas, GA 30157-3015 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1215534086 | Anne Cuthbert Patten | Speech-Language Pathologist | 3532 Routh St, Dallas, TX 75219-4730 | 2020-10-05 |
| 1669079406 | Kamryn Kelley Miller | Speech-Language Pathologist | 10617 Estate Ln, Dallas, TX 75238-2214 | 2020-10-05 |
| 1417565532 | Charlene Samone Martin | Speech-Language Pathologist | 103 Due West Pass, Dallas, GA 30157-2545 | 2020-07-15 |
| 1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
| 1073131108 | Julia Brooke Kenney | Speech-Language Pathologist | 3223 Lemmon Ave Apt 5102, Dallas, TX 75204-1877 | 2020-07-06 |
| 1053935924 | Sarah Guigneaux | Speech-Language Pathologist | 6024 Gentle Knoll Ln, Dallas, TX 75248-2123 | 2020-06-05 |
| 1316560402 | Shane Mary Thomas | Speech-Language Pathologist | 17060 Dallas Pkwy Ste 105, Dallas, TX 75248-1905 | 2020-05-22 |
| 1841812518 | Alden Caroline Bauman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy Ste 100, Dallas, TX 75243-1215 | 2020-05-15 |
| 1043832835 | Kacy Nicole Chapman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy, Dallas, TX 75243-1188 | 2020-05-14 |
| 1437788643 | Lourdes Georgina Salinas | Speech-Language Pathologist | 2473 N Field St Apt 3014, Dallas, TX 75201-8208 | 2020-04-08 |
| Find all providers in DALLAS | ||||
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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.