Lee Ann Slaytonbrautovich, LEE

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AT3437 Issued in CA

Practice address

159 E Orangeburg Ave
Modesto, CA 95350-5334

Phone

(209) 526-2811

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lee Ann Slaytonbrautovich-Brautovich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1356816326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953830051",
            "telephone_number": "831-801-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505334",
            "telephone_number": "209-526-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTONBRAUTOVICH",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "AT3437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "SLAYTONBRAUTOVICH-BRAUTOVICH",
            "middle_name": "ANN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

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

Verify at the official NPI Registry.