Active NPI
Jannis Lee
- Speech-Language Pathologist
- Honolulu, HI
National Provider Identifier
1548999501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2121
- Practice address
- 1132 Bishop St Unit 1710
Honolulu, HI 96813-2894 - Phone
- (909) 260-6162
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2121 | HI | Primary |
Addresses
Primary practice location
1132 Bishop St Unit 1710
Honolulu, HI 96813-2894
Mailing address
3784 Mission Ave # 148-343
Oceanside, CA 92058-1460
Phone (909) 260-6162
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2121 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1548999501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3784 MISSION AVE # 148-343",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581460",
"telephone_number": "909-260-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 BISHOP ST UNIT 1710",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132894",
"telephone_number": "909-260-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JANNIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "2121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.