James Henry Lee IV, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

800 Florida Ave NE
SLCC 2212
Washington, DC 20002-3600

Phone

(202) 651-5665

Fax

(202) 651-5324

NPI assigned

Jul 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jimmy Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Gallaudet University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1194958579
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1407085194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FLORIDA AVE NE",
            "address_2": "SLCC 2212",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023600",
            "telephone_number": "202-651-5665",
            "fax_number": "202-651-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FLORIDA AVE NE",
            "address_2": "SLCC 2212",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023600",
            "telephone_number": "202-651-5665",
            "fax_number": "202-651-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "LEE",
            "prefix": "MR.",
            "credential": "MS CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ivan Wayne Lee
• Jada Lee
• Jae Hoon Lee, DDS
• Jahmari Lee
• Jamal Lee
• Jane J Lee, O.D.
• Janella Lee, HHA
• Janet Annmarie Lee
• Janice Lee, M.D.
• Jason Lee

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.