Individual provider Active NPI

Katie E. Lee, MS, CCC-SLP

  • Speech-Language Pathologist
  • Sherwood, AR
National Provider Identifier
1952697054
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
104 Cedarwood Dr
Sherwood, AR 72120-3407
Phone
(870) 510-3430
NPI assigned
Jun 27, 2011
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 AR Primary

Addresses

Primary practice location

104 Cedarwood Dr
Sherwood, AR 72120-3407

Mailing address

104 Cedarwood Drive
Sherwood, AR 72120
Phone (870) 510-3430

Other practice location 1

17706 I-30 Ste 3
Benton, AR 72019-2930
Phone (501) 315-4414

Other names 1

  • Katie E Teutsch Former name

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1952697054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CEDARWOOD DRIVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "870-510-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CEDARWOOD DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203407",
            "telephone_number": "870-510-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17706 I-30 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720192930",
            "country_code": "US",
            "telephone_number": "501-315-4414",
            "fax_number": "501-315-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATIE",
        "middle_name": "E.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "TEUTSCH",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.