Active NPI
Kristen Powell Lee, M.S., CCC-SLP
- Speech-Language Pathologist
- Stoughton, WI
National Provider Identifier
1174724355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1873-154
- Practice address
- 644 County Rd N
Stoughton, WI 53589-4354 - Phone
- (608) 877-1438
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1873-154 | WI | Primary |
Addresses
Primary practice location
644 County Rd N
Stoughton, WI 53589-4354
Mailing address
644 County Rd N
Stoughton, WI 53589-4354
Phone (608) 877-1438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42570900 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1873-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174724355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 COUNTY RD N",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535894354",
"telephone_number": "608-877-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 COUNTY RD N",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535894354",
"telephone_number": "608-877-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KRISTEN",
"middle_name": "POWELL",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1873-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42570900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.