Active NPI
Maria Lee, M.S. CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1861815334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1416
- Practice address
- 2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934 - Phone
- (702) 877-0808
- Fax
- (702) 878-1322
- NPI assigned
- Feb 3, 2014
- 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 | SP1416 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934
Mailing address
2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934
Phone (702) 877-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140630001455 | NV | Practitioner - Qualified Speech Language Pathologist | 6103041421 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1416 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1861815334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 38D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-877-0808",
"fax_number": "702-878-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 38D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-877-0808",
"fax_number": "702-878-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP1416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.