Active NPI
Jenna Lee
- Speech-Language Pathologist
- Ellicott City, MD
National Provider Identifier
1124470620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 10910 Clarksville Pike
Ellicott City, MD 21042 - Phone
- (410) 313-6600
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
10910 Clarksville Pike
Ellicott City, MD 21042
Mailing address
2001 Oden Dr
Eldersburg, MD 21784-7159
Other practice location 1
40 Saw Mill River Rd
Hawthorne, NY 10532-1535
Phone (914) 347-3227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1124470620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 ODEN DR",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217847159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10910 CLARKSVILLE PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-313-6600"
}
],
"practiceLocations": [
{
"address_1": "40 Saw Mill River Rd",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NY",
"postal_code": "105321535",
"country_code": "US",
"telephone_number": "914-347-3227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.