Nancy Lee, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

37572 Issued in CA

Practice address

47305 Javalina Rd
Fremont, CA 94539-7410

Phone

(510) 255-3518

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Kind Minds Bloom Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Fremont, CA
  • NPI 1699641670
  NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1487537973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47305 JAVALINA RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47305 JAVALINA RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397410",
            "telephone_number": "510-255-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NANCY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR/EMR used for secure HIPAA compliant data management and messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47305 Javalina Rd",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945397410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kwok Ching Lee, DC
• Louise F. Lee, O.D.
• Marissa Lee, MFT
• Matthew Lee
• Matthew Warren Lee, DPT
• Olivia Lee
• Paula X. Lee, MD
• Philbert Manuel Lee, DOCTOR OF CHIROPRACT
• Richard K Lee, MD
• Sabrina Elsa-Angelica Lee, OTR/L

• Speech-Language Pathologist in Fremont, CA
• Providers in Fremont, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.