Mary Lee, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1276 S Main St
Cave Springs, AR 72718

Phone

(479) 245-3515

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Pathfinder, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, AR
  • NPI 1326004466
  Medicare reassignment NPD
• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD (past)
• Physician's Therapy Group, LLC

  • Speech-Language Pathologist
  • Springdale, AR
  • NPI 1144276585
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1114448065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21924 W HIGHWAY 62",
            "city": "LINCOLN",
            "state": "AR",
            "postal_code": "727449554",
            "telephone_number": "479-463-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 S MAIN ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "72718",
            "telephone_number": "479-245-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3291 S Thompson St Ste C103",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727647343",
            "country_code": "US",
            "telephone_number": "479-750-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 SE 5th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727126032",
            "country_code": "US",
            "telephone_number": "479-254-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228589721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew David Hudspeth
• Madeleine Johnson
• Nicholas Ray Jones
• Danielle Khoury, DPT
• Sarah Elizabeth La Tour
• Kelly Ann Long
• McKenzie Katherine Lynch
• Main Street Endocrinology, PLLC (Main Street Medical Associates)
• Leah Ashley Maldonado
• Tammy Lynn Neil, PH.D.

• Speech-Language Pathologist in Cave Springs, AR
• Providers in Cave Springs, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.