Lee Specialists LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LEE SPECIALISTS LLC

Practice address

15796 Georgia Rd
Middlefield, OH 44062-9261

Phone

(440) 221-4296

NPI assigned

Jun 14, 2022

Last updated

Jun 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Intelisano, MA CCC/SLPNPI 1285859264

Title

Speech Language Pathologist

Phone

(440) 221-4296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Intelisano

  • Speech-Language Pathologist
  • Middlefield, OH
  • NPI 1285859264
  Medicare reassignment NPD Authorized official
• Jill Ann Harmat, DO

  • Family Medicine Physician
  • Chesterland, OH
  • NPI 1205880143
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1740910538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15796 GEORGIA RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629261",
            "telephone_number": "440-221-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15796 GEORGIA RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629261",
            "telephone_number": "440-221-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "INTELISANO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "440-221-4296",
        "authorized_official_credential": "MA CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Middlefield, OH
• Providers in Middlefield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.