Individual provider Active NPI

Justine Elani Lee, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1093385387
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014808 Issued in PA
Practice address
222 Stockyard St # B202
Nashville, TN 37201-1038
Phone
(218) 929-1701
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 SL014808 PA Primary

Addresses

Primary practice location

222 Stockyard St # B202
Nashville, TN 37201-1038

Mailing address

222 Stockyard St # B202
Nashville, TN 37201-1038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909003026 TN Practitioner - Qualified Speech Language Pathologist 7113323585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7585TNMDClinical Social Worker
SL014808PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Steps, Inc. Speech-Language Pathologist CurrentSince Aug 13, 2021 Accepting new patients
Peak Pediatric Therapy, LLC Speech-Language Pathologist PastSince Aug 13, 2021 Accepting new patients

Locations

1900 Graybar Ln
Nashville, TN 37215
Phone (615) 690-3091

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1093385387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STOCKYARD ST # B202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STOCKYARD ST # B202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011038",
            "telephone_number": "218-929-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTINE",
        "middle_name": "ELANI",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.