Individual provider Active NPI

Lauren Lee, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Seekonk, MA
National Provider Identifier
1417336041
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
76625 Issued in MA
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

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SR21880MedicaidRI

Other names 1

  • Lauren Rae Cannistraci Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
76625MAMDSpeech-Language Pathologist
SP00303-PRIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Synergy Corporation CurrentSince Dec 10, 2023 Accepting new patients
Positive Synergy Corporation Speech-Language Pathologist PastSince Sep 15, 2019 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.

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

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.

Verify at the official NPI Registry.