Active NPI
Rachel Marcia Lee
- Specialist
- North Charleston, SC
National Provider Identifier
1801172176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6077
- Practice address
- 7671 Northwoods Blvd
Ste L
North Charleston, SC 29406-4058 - Phone
- (843) 324-2956
- Fax
- (843) 871-9341
- NPI assigned
- Oct 31, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6077 | SC | Primary |
Addresses
Primary practice location
7671 Northwoods Blvd
Ste L
North Charleston, SC 29406-4058
Mailing address
169 Danzid Dr
Summerville, SC 29483-9281
Phone (843) 871-9341
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 |
|---|---|---|---|
| 6077 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1801172176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 DANZID DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294839281",
"telephone_number": "843-871-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7671 NORTHWOODS BLVD",
"address_2": "STE L",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064058",
"telephone_number": "843-324-2956",
"fax_number": "843-871-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RACHEL",
"middle_name": "MARCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "6077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.