Individual provider Active NPI

Lauren Hillary Lee, MA, CCC-SLP

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1831568864
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
140371 Issued in KY
Practice address
4033 Taylorsville Rd Ste 100
Louisville, KY 40220-1521
Phone
(502) 893-8414
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 140371 KY Primary

Addresses

Primary practice location

4033 Taylorsville Rd Ste 100
Louisville, KY 40220-1521

Mailing address

818 Dorsey Way
Louisville, KY 40223-2711
Phone (502) 494-0485

Other practice location 1

1520 Baxter Ave
Louisville, KY 40205-1009
Phone (502) 451-6200 ext. 211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324003515 KY Practitioner - Qualified Speech Language Pathologist 3375066962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
140371KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capacity Care,Inc Speech-Language Pathologist CurrentSince Dec 6, 2024 Accepting new patients

Locations

4033 Taylorsville Rd
Ste 100
Louisville, KY 40220
Phone (502) 893-8414

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1831568864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 DORSEY WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232711",
            "telephone_number": "502-494-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TAYLORSVILLE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201521",
            "telephone_number": "502-893-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Baxter Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402051009",
            "country_code": "US",
            "telephone_number": "502-451-6200 x211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAUREN",
        "middle_name": "HILLARY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.