Katrina Shivaun Lee, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

NC-5040 Issued in NC

Practice address

3101 Fayetteville Rd
Suite E
Lumberton, NC 28358-2775

Phone

(910) 737-6300

Fax

(910) 737-6333

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Overflow Enterprises, Inc.

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1114172483
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1891859161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RENTON CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113414",
            "telephone_number": "910-737-6300",
            "fax_number": "910-737-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FAYETTEVILLE RD",
            "address_2": "SUITE E",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582775",
            "telephone_number": "910-737-6300",
            "fax_number": "910-737-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATRINA",
        "middle_name": "SHIVAUN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "NC-5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411871",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE ID#",
            "identifier": "NC-5040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vidyasahithi Lavu
• LBNC Anesthesia Services PC
• Thuy Le
• Leap of Faith Healthcare Agency
• Johnny Lee, DO
• Susan E Lees, LCSW
• Lela M Lewis
• Kaylynn Lepore
• Marla Brien Lewis, NP-C
• Yolanda N Lewis, CSAC,LCAS-A

• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.