Active NPI
Jennifer Duncan Lee, M.A., CCC-SLP, BCBA
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1821275181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006126
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 330-0125
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 | SLP006126 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
10 Angel Oaks Dr
Savannah, GA 31410-3167
Phone (912) 604-0186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432082052D | Medicaid | GA | |
| 1-12-10069 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD, INC. |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006126 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Therapy Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Savannah, GA
- NPI 1346410461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1821275181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ANGEL OAKS DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103167",
"telephone_number": "912-604-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-330-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"middle_name": "DUNCAN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432082052D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD, INC.",
"identifier": "1-12-10069",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.