Kelly Marie Lehman, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1416-154 Issued in WI

Practice address

1800 Appleton Rd
Menasha, WI 54952-3727

Phone

(920) 968-6359

Fax

(920) 725-2572

NPI assigned

Feb 15, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710020086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N759 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409546",
            "telephone_number": "920-667-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523727",
            "telephone_number": "920-968-6359",
            "fax_number": "920-725-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1416-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42788200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY LICENSE",
            "identifier": "1416-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Michael Larson, OD
• Lesley R Lathrop, R N
• Melissa L Laughlin Holtz, LCSW
• Darlene Leary
• Avery Ann Lebowitz, APNP
• Mary Lenhard
• Michael Leon, LPN
• Yong Li
• Bryan Lichtfuss, PHARMACIST
• Devon Lor, RN

• Speech-Language Pathologist in Menasha, WI
• Providers in Menasha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.