LESLIE GAIL BRYAN WHITLOCK (NPI# 1245431840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245431840 |
| Entity Type | Individual |
| Full Name | LESLIE GAIL BRYAN WHITLOCK |
| Credential | AU.D. |
| Practice Address |
5 First Village Dr Pinehurst NC 28374 |
| Mailing Address |
5 First Village Dr Po Box 2000 Pinehurst NC 28374 |
| Practice Telephone | 9102950243 |
| Practice Fax Number | 9102152640 |
| Mailing Telephone | 9102956831 |
| Mailing Fax Number | 9102950244 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 6405 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
5 FIRST VILLAGE DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423170 | Lorraine Mayer-wolpert Berman | Surgery | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2005-11-09 |
| 1700493731 | Zachary Lilly | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2020-09-24 |
| 1114574431 | Hannah Hailey Olliff | Audiologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-08-21 |
| 1659836500 | Psc Commercial Bundle, LLC | Case Management | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-02-05 |
| 1215447834 | Ashton Nanette Wedemeyer | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-10-10 |
| 1992244040 | Nadya Lally | Nurse Practitioner | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-02-21 |
| 1407202153 | Sarah Beth Mulhaul | Social Worker | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-12 |
| 1427403047 | Stefanie Jo Mansfield | Specialist/Technologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-02 |
| 1902274459 | Travis Lee Huffman | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2015-09-14 |
| 1679941124 | Katherine Mehry Tahamtan | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374 | 2015-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679751812 | Audiology of The Pines LLC | Audiologist | 127 Racquet Ln, Pinehurst, NC 28374-7626 | 2008-02-08 |
| 1114574431 | Hannah Hailey Olliff | Audiologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-08-21 |
| 1053695197 | Sarah Ann Rose | Audiologist | 5 Firstvillage Drive, Pinehurst, NC 28374-2000 | 2011-10-07 |
| 1164716858 | Jackie Barber Haywood | Audiologist | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629086 | Kristen Marie Ponturiero | Audiologist | 435 Meadowmont Village Cir, Chapel Hill, NC 27517-7506 | 2020-08-13 |
| 1730705146 | Rebekah Perez | Audiologist | 1505 Sw Cary Pkwy Ste 301, Cary, NC 27511-6219 | 2020-06-22 |
| 1588298665 | Leah Benedict | Audiologist | Medical Center Blvd 4 Janeway Tower, Winston Salem, NC 27157-0001 | 2020-02-27 |
| 1861025363 | Samuel Brown | Audiologist | Medical Center Blvd 4th Floor Janeway Tower: Audiology, Winston Salem, NC 27157-0001 | 2020-02-13 |
| 1932731742 | Ashley Elizabeth Ervin | Audiologist | Medical Center Blvd Janeway Tower 4th Floor, Winston Salem, NC 27157-0001 | 2020-02-10 |
| 1467082669 | Brevard Hearing Center of North Carolina Pllc | Audiologist | 424 S Caldwell St, Brevard, NC 28712-3904 | 2020-01-16 |
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1972145399 | Courtney Marie Palmiere | Audiologist | 6414 Rea Rd Ste C, Charlotte, NC 28277-3877 | 2019-10-17 |
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1346809191 | Marissa Lorraine Taylor | Audiologist | 1126 N Church St Ste 201, Greensboro, NC 27401-1036 | 2019-06-06 |
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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.