Active NPI
Lauren Lee, M.S., CCC-SLP
- Speech-Language Pathologist
- Seekonk, MA
National Provider Identifier
1417336041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76625
- Practice address
- 1573 Fall River Ave
Seekonk, MA 02771-3740 - Phone
- (508) 617-8396
- Fax
- (508) 401-2696
- NPI assigned
- May 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00303-P | RI | |
| Speech-Language Pathologist | 235Z00000X | 76625 | MA | Primary |
Addresses
Primary practice location
1573 Fall River Ave
Seekonk, MA 02771-3740
Mailing address
1573 Fall River Ave
Seekonk, MA 02771-3740
Phone (508) 617-8396
Other practice location 1
800 Quaker Ln
East Greenwich, RI 02818-1667
Phone (401) 886-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR21880 | Medicaid | RI |
Other names 1
- Lauren Rae Cannistraci
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcannistraci@psaba.org |
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 |
|---|---|---|---|
| 76625 | MA | MD | Speech-Language Pathologist |
| SP00303-P | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Synergy Corporation | Current | Accepting new patients | |
| Positive Synergy Corporation | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1573 Fall River Ave
Seekonk, MA 02771
Phone (508) 216-0116
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Seekonk, MA
- NPI 1225456510
-
- Speech-Language Pathologist
- Seekonk, MA
- NPI 1538643598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1417336041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713740",
"telephone_number": "508-617-8396",
"fax_number": "508-401-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713740",
"telephone_number": "508-617-8396",
"fax_number": "508-401-2696"
}
],
"practiceLocations": [
{
"address_1": "800 Quaker Ln",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028181667",
"country_code": "US",
"telephone_number": "401-886-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "LAUREN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00303-P",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SR21880",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcannistraci@psaba.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "1573 Fall River Ave",
"city": "Seekonk",
"state": "MA",
"country_code": "US",
"postal_code": "027713740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "CANNISTRACI",
"middle_name": "RAE",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seekonk, MA
- Sara Ashley Laplume, N.P.
- Laura F Wilhelm Psychotherapist LLC
- Laura F Wilhelm Psychotherapist LLC
- Richard P. Leclaire, P.T.
- David Lee, DMD OMS
- Kimberly Lewandowski, R.D.
- Mary Liem, PHARM D
- Lisa Daft, DMD & Associates, PC
- Little Garden Speech & Language Therapy Services
- Sherri Ellen Lonczak, MS CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.